Maria Al Ismail, in Detroit, MI - Medicare Dentist Provider

Maria Al Ismail, is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Detroit, Michigan. Her current practice location is 2700 Martin Luther King Jr Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 494-6685.

Maria Al Ismail is licensed to practice in Michigan (license number 2901601028) 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 1063824464.

Contact Information

	Maria Al Ismail,
	2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576
	(313) 494-6685
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Maria Al Ismail
Gender	Female
Speciality	Dentist - Pediatric Dentistry
Location	2700 Martin Luther King Jr Blvd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063824464
Provider Enumeration Date: 05/20/2014
Last Update Date: 09/02/2021

Medicare PECOS Information:

PECOS PAC ID: 5890034458
Enrollment ID: I20190227000620

Medical Identifiers

Medical identifiers for Maria Al Ismail such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063824464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	DF11463 (Massachusetts)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
1223P0221X	Dentist - Pediatric Dentistry	2901601028 (Michigan)	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. Maria Al Ismail allows following entities to bill medicare on her behalf.

Entity Name	Trustees Of Boston University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154331916 PECOS PAC ID: 8921070822 Enrollment ID: O20040811000400

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. Maria Al Ismail 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
Maria Al Ismail, 50136 Woodford Dr, Canton, MI 48188-2863 Ph: (857) 272-2572	Maria Al Ismail, 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 Ph: (313) 494-6685

Reviews and Comments

Dentist in Detroit, MI

Dr. Elham Javidan-nejad, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5705 W Vernor Hwy, Detroit, MI 48209 Phone: 313-842-3770 Fax: 313-842-6665
Dr. Swati Dinesh Chitre, DDS,MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 Phone: 313-494-6814
Minh-phuong Isabelle Kieu, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 Phone: 313-494-6629
Dennis S Phillips, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4201 Saint Antoine St, Detroit, MI 48201 Phone: 313-745-1977 Fax: 313-745-4370
Karishma M Choksi, B.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 Phone: 313-494-6700 Fax: 313-745-4370
Dr. Mikhail Arkhipov, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 Phone: 347-782-6999
Dr. Bruce Donigan, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3011 W. Grand Blvd., Suite 862, Detroit, MI 48202 Phone: 313-871-1100 Fax: 313-871-5376

Maria Al Ismail, - Medicare Dentist in Detroit, MI