Dr Omar Samih Qaqish, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Warren, Michigan. His current practice location is
12000 E 12 Mile Rd, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 967-7795.
Dr Omar Samih Qaqish is licensed to practice in * (Not Available) (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 1578067369.
Physician's Profile
Full Name | Dr Omar Samih Qaqish |
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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 | 12000 E 12 Mile Rd, Warren, 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: 1578067369
- Provider Enumeration Date: 03/19/2018
- Last Update Date: 08/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587058607
- Enrollment ID: I20220304002142
Medical Identifiers
Medical identifiers for Dr Omar Samih Qaqish such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578067369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 4301504324 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | 2186120341 (Michigan) | Secondary |
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 Omar Samih Qaqish 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 Omar Samih Qaqish, MD 49473 Pointe Xing, Plymouth, MI 48170-6433 Ph: (312) 315-7753 | Dr Omar Samih Qaqish, MD 12000 E 12 Mile Rd, Warren, MI 48093-3570 Ph: (248) 967-7795 |
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