Clarissa Dass, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Pontiac, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Eastlake Cardiovascular Pc and her current practice location is
50 N Perry St, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 338-5000.
Clarissa Dass is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598175259.
Physician's Profile
Full Name | Clarissa Dass |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 10 Years |
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Location | 50 N Perry St, Pontiac, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Clarissa Dass attended and graduated from Michigan State University College Of Osteopathic Medicine in 2014
NPI Data:
- NPI Number: 1598175259
- Provider Enumeration Date: 05/04/2014
- Last Update Date: 06/19/2014
Medicare PECOS Information:
- PECOS PAC ID: 1254551997
- Enrollment ID: I20200803003231
Medical Identifiers
Medical identifiers for Clarissa Dass such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598175259 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 5101020960 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Eastlake Cardiovascular Pc | 4688562176 | 19 |
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. Clarissa Dass allows following entities to bill medicare on her behalf.
Entity Name | Ascension St John Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
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Entity Name | Eastlake Cardiovascular Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982657474 PECOS PAC ID: 4688562176 Enrollment ID: O20040308000049 |
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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. Clarissa Dass 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 |
Clarissa Dass, DO 50 N Perry St, Pontiac, MI 48342-2217 Ph: (248) 338-5000 | Clarissa Dass, DO 50 N Perry St, Pontiac, MI 48342-2217 Ph: (248) 338-5000 |
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