Baraa Ghassan Mussallam, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Mount Clemens, Michigan. His current practice location is
1000 Harrington St, Mount Clemens, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 790-9003.
Baraa Ghassan Mussallam is licensed to practice in Michigan (license number ) 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 1114776119.
Physician's Profile
Full Name | Baraa Ghassan Mussallam |
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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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114776119
- Provider Enumeration Date: 05/14/2024
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709323595
- Enrollment ID: I20240729003973
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
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 |
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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