Dr Bassel Ericsoussi, MD in Munster, IN - Medicare Critical Care (intensivists)

Dr Bassel Ericsoussi, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Munster, Indiana. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Franciscan Physician Network and his current practice location is 761 45th St Ste 108, Munster, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 922-5416.

Dr Bassel Ericsoussi is licensed to practice in Indiana (license number 01069620A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700087632.

Contact Information

	Dr Bassel Ericsoussi, MD
	761 45th St Ste 108, Munster, IN 46321-2899
	(219) 922-5416
	(219) 922-3745

Map and Direction

Physician's Profile

Full Name	Dr Bassel Ericsoussi
Gender	Male
Speciality	Critical Care (intensivists)
Experience	22 Years
Location	761 45th St Ste 108, Munster, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Bassel Ericsoussi graduated from medical school in 2002

NPI Data:

NPI Number: 1700087632
Provider Enumeration Date: 05/29/2007
Last Update Date: 07/05/2023

Medicare PECOS Information:

PECOS PAC ID: 0941466239
Enrollment ID: I20120801000431

Medical Identifiers

Medical identifiers for Dr Bassel Ericsoussi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700087632	NPI	-	NPPES
201063870	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	01069620A (Indiana)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	01069620A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Franciscan Health Dyer	Dyer, IN	Hospital
Franciscan Health Munster	Munster, IN	Hospital
Franciscan St Anthony Health - Michigan City	Michigan city, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Franciscan Physician Network	3072790682	983

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 Bassel Ericsoussi allows following entities to bill medicare on his behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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 Bassel Ericsoussi 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 Bassel Ericsoussi, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Dr Bassel Ericsoussi, MD 761 45th St Ste 108, Munster, IN 46321-2899 Ph: (219) 922-5416

Reviews and Comments

Internal Medicine Doctors in Munster, IN

Maali Milhem, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 9126 Columbia Ave, Munster, IN 46321 Phone: 219-703-2408 Fax: 219-703-6684
Sahar Halabi, M.D Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 761 45th St Ste 108, Munster, IN 46321 Phone: 219-922-5416 Fax: 219-922-3745
Wassim Shwaiki, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 8840 Calumet Ave Ste 203, Munster, IN 46321 Phone: 219-836-7723 Fax: 219-836-7726
Thottathil Viswanathan Gopan, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 761 45th St Ste 110, Munster, IN 46321 Phone: 219-922-3020 Fax: 219-922-3023
Dr. Kyle Kleist, D.O. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Superior Ave, Munster, IN 46321 Phone: 219-924-1300 Fax: 219-933-2288
Dr. Gene Lee Chang, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 9030 Columbia Ave, Munster, IN 46321 Phone: 219-836-6002 Fax: 219-836-6003
Sana Shoaib Meah, D.O Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 761 45th Avenue, Suite 110, Munster, IN 46321 Phone: 219-922-3020 Fax: 219-922-3023

Dr Bassel Ericsoussi, MD - Medicare Critical Care (intensivists) in Munster, IN