Khaled Mohamed, MD - Medicare Nephrology in Gulfport, MS

Khaled Mohamed, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Gulfport, Mississippi. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice The Southeast Permanente Medical Group and his current practice location is 4300b W Railroad St, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 863-7393.

Khaled Mohamed is licensed to practice in Mississippi (license number 27664) 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 1841240231.

Contact Information

Khaled Mohamed, MD
4300b W Railroad St,
Gulfport, MS 39501-2568
(228) 863-7393
(228) 868-6643



Physician's Profile

Full NameKhaled Mohamed
GenderMale
SpecialityNephrology
Experience28 Years
Location4300b W Railroad St, Gulfport, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Khaled Mohamed graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1841240231
  • Provider Enumeration Date: 05/10/2006
  • Last Update Date: 01/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022037423
  • Enrollment ID: I20161011003012

Medical Identifiers

Medical identifiers for Khaled Mohamed such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841240231NPI-NPPES
207590803MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 27664 (Mississippi)Primary
207RN0300XInternal Medicine - Nephrology 2005012191 (Missouri)Secondary
207RN0300XInternal Medicine - Nephrology 065587 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Southeast Permanente Medical Group6204829013576

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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. Khaled Mohamed allows following entities to bill medicare on his behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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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. Khaled Mohamed 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
Khaled Mohamed, MD
4300b W Railroad St,
Gulfport, MS 39501-2568

Ph: (228) 863-7393
Khaled Mohamed, MD
4300b W Railroad St,
Gulfport, MS 39501-2568

Ph: (228) 863-7393

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Internal Medicine Doctors in Gulfport, MS

Dr. Nabil Azar, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1340 Broad Ave, Suite 310, Gulfport, MS 39501
Phone: 228-575-1400    Fax: 228-575-1414
Dr. Fahad Javed, M.D.,
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4215 15th St, Gulfport, MS 39501
Phone: 228-863-5211    Fax: 228-863-4101
Indrajit J Patel, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-5201    Fax: 228-867-3152
Dr. Thomas Blanks, M.D.
Nephrology
Medicare: Medicare Enrolled
Practice Location: 1110 Broad Ave, Suite 700, Gulfport, MS 39501
Phone: 228-864-0314    Fax: 228-864-0425
Dr. Stephanie Fussell, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1340 Broad Ave Ste 330, Gulfport, MS 39501
Phone: 228-575-1234    Fax: 228-867-4828
Dr. Malcolm Scott Dean, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-5201    Fax: 228-867-3152
Matthew Jacob Murray, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 12330 Ashley Dr, Gulfport, MS 39503
Phone: 228-831-1572    Fax: 228-831-1218

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