Dima Al Ta'any, MD in Dearborn, MI

Dima Al Ta'any, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Dearborn, Michigan. Her current practice location is 18101 Oakwood Blvd Ste 124, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 593-7490.

Dima Al Ta'any is licensed to practice in Michigan (license number 4301090351) 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 1629258272.

Contact Information

	Dima Al Ta'any, MD
	18101 Oakwood Blvd Ste 124, Dearborn, MI 48124-4089
	(313) 593-7490
	(313) 736-2082

Map and Direction

Physician's Profile

Full Name	Dima Al Ta'any
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	18101 Oakwood Blvd Ste 124, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629258272
Provider Enumeration Date: 11/13/2007
Last Update Date: 07/15/2022

Medicare PECOS Information:

PECOS PAC ID: 6608018791
Enrollment ID: I20130820000925

Medical Identifiers

Medical identifiers for Dima Al Ta'any such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629258272	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	4301090351 (Michigan)	Primary
208000000X	Pediatrics	4301090351 (Michigan)	Secondary

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. Dima Al Ta'any allows following entities to bill medicare on her behalf.

Entity Name	University Pediatricians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125

Entity Name	Oakwood Ambulatory Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401

Entity Name	Beaumont Medical Group Hospital Based Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796

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. Dima Al Ta'any 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
Dima Al Ta'any, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () -	Dima Al Ta'any, MD 18101 Oakwood Blvd Ste 124, Dearborn, MI 48124-4089 Ph: (313) 593-7490

Reviews and Comments

Pediatrics Doctors in Dearborn, MI

Mrs. Kingkhan Boriboon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3850 Pelham St, Dearborn, MI 48124 Phone: 313-562-9500 Fax: 313-562-7567
Rannan Kased, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 4700 Schaefer Rd Ste 245255, Dearborn, MI 48126 Phone: 313-561-5100 Fax: 313-565-0309
Dr. Doss Nicolas Doss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 5500 Auto Club Dr, Dearborn, MI 48126 Phone: 313-425-4700
Saba Javaid, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19401 Hubbard Dr, Dearborn, MI 48126 Phone: 313-982-4400
Kathleen B. Blumer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 Phone: 313-982-8330 Fax: 313-982-8294
Dr. Azmathullah Khan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4700 Greenfield Rd, Dearborn, MI 48126 Phone: 313-945-6100 Fax: 313-945-5260
Dr. Alex Elsabbagh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 N Telegraph Rd, Dearborn, MI 48128 Phone: 313-274-6666 Fax: 313-274-4466

Dima Al Ta'any, MD - Medicare Pediatrics in Dearborn, MI