Baraa Ghassan Mussallam, DO is a
Student In An Organized Health Care Education/training Program physician based in Mount Clemens, Michigan. Baraa Ghassan Mussallam is licensed to practice in Michigan (license number ) and his current practice location is 1000 Harrington St, Mount Clemens, Michigan. He can be reached at his office (for appointments etc.) via phone at
(586) 790-9003.
NPI number for Baraa Ghassan Mussallam is 1114776119 and his current mailing address is 1000 Harrington St, Mount Clemens, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114776119.
Physician's Profile
| Full Name | Baraa Ghassan Mussallam |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1000 Harrington St, Mount Clemens, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114776119
- Provider Enumeration Date: 05/14/2024
- Last Update Date: 06/14/2024
Medical Identifiers
Medical identifiers for Baraa Ghassan Mussallam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114776119 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 5151016576 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Michigan) | Primary |
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. Baraa Ghassan Mussallam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Baraa Ghassan Mussallam, DO
1000 Harrington St,
Mount Clemens, MI 48043-2920
Ph: (586) 790-9003 | Baraa Ghassan Mussallam, DO
1000 Harrington St,
Mount Clemens, MI 48043-2920
Ph: (586) 790-9003 |
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