Ayesha Fatima, in Royal Oak, MI - Medicare Pediatrics

Ayesha Fatima, is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Royal Oak, Michigan. Her current practice location is 3535 W 13 Mile Rd, Royal Oak, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 551-0311.

Ayesha Fatima is licensed to practice in Michigan (license number 4301079789) 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 1235357708.

Contact Information

	Ayesha Fatima,
	3535 W 13 Mile Rd, Royal Oak, MI 48073-6770
	(248) 551-0311
	Not Available

Map and Direction

Physician's Profile

Full Name	Ayesha Fatima
Gender	Female
Speciality	Pediatrics - Pediatric Gastroenterology
Location	3535 W 13 Mile Rd, Royal Oak, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235357708
Provider Enumeration Date: 04/23/2007
Last Update Date: 10/22/2020

Medicare PECOS Information:

PECOS PAC ID: 1557335296
Enrollment ID: I20100430000019

Medical Identifiers

Medical identifiers for Ayesha Fatima such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235357708	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD12288 (Rhode Island)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	MD12288 (Rhode Island)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	4301079789 (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. Ayesha Fatima allows following entities to bill medicare on her behalf.

Entity Name	William Beaumont Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083833875 PECOS PAC ID: 9335051093 Enrollment ID: O20031104000279

Entity Name	Beaumont Medical Group- Specialty Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549

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. Ayesha Fatima 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
Ayesha Fatima, 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 Ph: (248) 551-0311	Ayesha Fatima, 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 Ph: (248) 551-0311

Reviews and Comments

Pediatrics Doctors in Royal Oak, MI

Melissa Joy Drewry, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000
Dr. Jamal Kriem, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073 Phone: 248-551-0487 Fax: 248-551-3696
Elliott Weinhouse, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3535 W 13 Mile Rd Ste 108, Royal Oak, MI 48073 Phone: 248-551-2900 Fax: 248-551-0800
Dr. Evelyn J Brito, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-2047 Fax: 248-551-2092
Hannah Gadway, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 W Thirteen Mile Rd, Gme Offic, Royal Oak, MI 48073 Phone: 248-551-6489
Dr. Nicole R Peltz, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27332 Woodward Ave, Ste 100, Royal Oak, MI 48067 Phone: 248-543-1545 Fax: 248-543-8638
Varsha Ganesh Deshmukh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-2454

Ayesha Fatima, - Medicare Pediatrics in Royal Oak, MI