Wael I Ghanim, MD - Medicare Pediatrics in Somerset, KY

Wael I Ghanim, MD is a medicare enrolled "Pediatrics" physician in Somerset, Kentucky. His current practice location is 305 Langdon St, Somerset, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 679-7441.

Wael I Ghanim is licensed to practice in Kentucky (license number 38144) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841241668.

Contact Information

Wael I Ghanim, MD
305 Langdon St,
Somerset, KY 42503-2750
(606) 679-7441
Not Available

Map and Direction




Physician's Profile

Full NameWael I Ghanim
GenderMale
SpecialityPediatrics
Location305 Langdon St, Somerset, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841241668
  • Provider Enumeration Date: 05/15/2006
  • Last Update Date: 09/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2466421524
  • Enrollment ID: I20040927000649

Medical Identifiers

Medical identifiers for Wael I Ghanim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841241668NPI-NPPES
010038227MedicaidVA
4046618MedicaidTN
64072358MedicaidKY
000000312935OtherANTHEM BC/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD446646 (Pennsylvania)Secondary
208M00000XHospitalist 38144 (Kentucky)Secondary
208000000XPediatrics 38144 (Kentucky)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. Wael I Ghanim allows following entities to bill medicare on his behalf.
Entity NameKentucky Medical Services Foundation, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326091448
PECOS PAC ID: 5698689909
Enrollment ID: O20031119000300
Entity NameAppalachian Regional Healthcare Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528148012
PECOS PAC ID: 0840107835
Enrollment ID: O20031125000520
Entity NameLake Cumberland Regional Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861078685
PECOS PAC ID: 7214909456
Enrollment ID: O20040809001229
Entity NameClark Regional Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780356253
PECOS PAC ID: 9739337569
Enrollment ID: O20120919000575

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. Wael I Ghanim 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 AddressPractice Location Address
Wael I Ghanim, MD
305 Langdon St,
Somerset, KY 42503-2750

Ph: (606) 679-7441
Wael I Ghanim, MD
305 Langdon St,
Somerset, KY 42503-2750

Ph: (606) 679-7441

Reviews and Comments


Pediatrics Doctors in Somerset, KY

Cherice K Patterson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 Langdon St, Somerset, KY 42503
Phone: 606-678-8155    Fax: 606-678-7548
Harry Lee Greene, M. D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 205 Waitsboro Dr, Somerset, KY 42503
Phone: 561-317-3387    Fax: 606-451-9728
Rebecca Jeannine Blakley, CPNP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 Hospital Way Ste 100, Somerset, KY 42503
Phone: 865-207-3466    
Deanna Marie Grubbs, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 Langdon St, Somerset, KY 42503
Phone: 606-678-8155    Fax: 606-678-7548
Dr. Lisette Marie Garrett, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 Langdon St, Somerset, KY 42503
Phone: 606-678-8155    Fax: 606-678-7548
Dr. Sheeba M. Picard, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 Langdon Street, Somerset, KY 42503
Phone: 606-678-8155    Fax: 606-678-7548
Melissa G Hansford, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 Langdon St, Suite 1, Somerset, KY 42503
Phone: 606-678-8155    Fax: 606-678-7548

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.