Teresa Ghazoul, MD is a medicare enrolled "Plastic Surgery" physician in Wooster, Ohio. Her current practice location is
1761 Beall Ave Ste 104, Wooster, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 202-3350.
Teresa Ghazoul is licensed to practice in Ohio (license number 35-056696) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265475370.
Physician's Profile
| Full Name | Teresa Ghazoul |
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| Gender | Female |
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| Speciality | Plastic Surgery |
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| Location | 1761 Beall Ave Ste 104, Wooster, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265475370
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 04/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628080876
- Enrollment ID: I20060707000128
Medical Identifiers
Medical identifiers for Teresa Ghazoul such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265475370 | NPI | - | NPPES |
| 0928634 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | 35-056696 (Ohio) | Primary |
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. Teresa Ghazoul allows following entities to bill medicare on her behalf.
| Entity Name | North Central Ohio Family Care Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689822827
PECOS PAC ID: 3274437082
Enrollment ID: O20031124000232 |
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| Entity Name | Bloomington Medical Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528246683
PECOS PAC ID: 9032297627
Enrollment ID: O20080422000953 |
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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. Teresa Ghazoul 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 |
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Teresa Ghazoul, MD
1761 Beall Ave Ste 104,
Wooster, OH 44691-2342
Ph: (330) 202-3350 | Teresa Ghazoul, MD
1761 Beall Ave Ste 104,
Wooster, OH 44691-2342
Ph: (330) 202-3350 |
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