Dr Enos Marcus Humbles, DO is a medicare enrolled "Internal Medicine" physician in Redford, Michigan. His current practice location is
23405 Plymouth Rd, Redford, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 535-7880.
Dr Enos Marcus Humbles is licensed to practice in Michigan (license number 5101011838) 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 1902850472.
Physician's Profile
| Full Name | Dr Enos Marcus Humbles |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 23405 Plymouth Rd, Redford, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902850472
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 09/11/2009
Medicare PECOS Information:
- PECOS PAC ID: 4385617604
- Enrollment ID: I20040816000726
Medical Identifiers
Medical identifiers for Dr Enos Marcus Humbles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902850472 | NPI | - | NPPES |
| 114506064 | Medicaid | MI | |
| 114537712 | Medicaid | MI | |
| 5101011834 | Other | MI | STATE OF MICHIGAN LICENSE |
| EH011838 | Other | MI | BCBS |
| P31038F | Other | MI | BLUE CARE NETWORK |
| 1891935656 | Other | MI | GROUP NPI FOR REDFORD URGENT CARE MEDICAL CLINIC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 5101011838 (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. Dr Enos Marcus Humbles allows following entities to bill medicare on his behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20210405000855 |
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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. Dr Enos Marcus Humbles 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 |
|---|
Dr Enos Marcus Humbles, DO
23405 Plymouth Rd,
Redford, MI 48239-1433
Ph: (313) 535-7880 | Dr Enos Marcus Humbles, DO
23405 Plymouth Rd,
Redford, MI 48239-1433
Ph: (313) 535-7880 |
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