Omar F Ghandour, MD in Southaven, MS - Medicare Radiation Oncology

Omar F Ghandour, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Southaven, Mississippi. He graduated from medical school in 1992 and has 34 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Baptist Memorial Medical Group, Inc., Baptist Memorial Medical Group, Inc. and his current practice location is 7601 Southcrest Pkwy, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 772-2130.

Omar F Ghandour is licensed to practice in Mississippi (license number 22217) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255323663.

Contact Information

	Omar F Ghandour, MD
	7601 Southcrest Pkwy, Southaven, MS 38671-4739
	(662) 772-2130
	(662) 772-2131

Map and Direction

Physician's Profile

Full Name	Omar F Ghandour
Gender	Male
Speciality	Radiation Oncology
Experience	34 Years
Location	7601 Southcrest Pkwy, Southaven, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Omar F Ghandour graduated from medical school in 1992

NPI Data:

NPI Number: 1255323663
Provider Enumeration Date: 08/22/2005
Last Update Date: 03/30/2018

Medicare PECOS Information:

PECOS PAC ID: 6608936521
Enrollment ID: I20081122000143

Medical Identifiers

Medical identifiers for Omar F Ghandour such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255323663	NPI	-	NPPES
4046696	Other	TN	BLUE CROSS BLUE SHIELD
3876529	Medicaid	TN
99465	Other	AR	BLUE CROSS BLUE SHIELD
00127062	Medicaid	MS
148872001	Medicaid	AR
7160133	Other		AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	22217 (Mississippi)	Primary
2085R0001X	Radiology - Radiation Oncology	36779 (Tennessee)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital Desoto	Southaven, MS	Hospital
Baptist Memorial Hospital Union County	New albany, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baptist Memorial Medical Group, Inc.	5193610228	468
Baptist Memorial Medical Group, Inc.	5193610228	468

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Omar F Ghandour allows following entities to bill medicare on his behalf.

Entity Name	Baptist Memorial Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20040218000385

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Omar F Ghandour is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Omar F Ghandour, MD Po Box 405827, Atlanta, GA 30384-5827 Ph: () -	Omar F Ghandour, MD 7601 Southcrest Pkwy, Southaven, MS 38671-4739 Ph: (662) 772-2130

Reviews and Comments

Radiology Doctors in Southaven, MS

Samuel Grady Putnam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Physicians Ln, Southaven, MS 38671 Phone: 662-655-2136 Fax: 662-996-2214
Loi T Vu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7420 Guthrie Dr N Ste 105, Southaven, MS 38671 Phone: 662-349-4321 Fax: 662-349-3263
Shadell Cater, RDMS,RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 7165 Swinnea Rd Bldg B2, Southaven, MS 38671 Phone: 662-612-4658

Omar F Ghandour, MD - Medicare Radiation Oncology in Southaven, MS