Dr Tammy Samuel Dusevic, DO is a medicare enrolled "Family Medicine" physician in Sterling Hts, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mclaren Macomb and her current practice location is
13425 19 Mile Rd Ste 100, Sterling Hts, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 843-3935.
Dr Tammy Samuel Dusevic is licensed to practice in Michigan (license number 5101014333) 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 1255308615.
Physician's Profile
| Full Name | Dr Tammy Samuel Dusevic |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 25 Years |
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| Location | 13425 19 Mile Rd Ste 100, Sterling Hts, 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. |
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Medical Education and Training:
- Dr Tammy Samuel Dusevic attended and graduated from Michigan State University College Of Osteopathic Medicine in 1999
NPI Data:
- NPI Number: 1255308615
- Provider Enumeration Date: 03/03/2006
- Last Update Date: 03/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 8527113612
- Enrollment ID: I20090825000418
Medical Identifiers
Medical identifiers for Dr Tammy Samuel Dusevic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255308615 | NPI | - | NPPES |
| 1255308615 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5101014333 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mclaren Macomb | 8921912791 | 115 |
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 Tammy Samuel Dusevic allows following entities to bill medicare on her behalf.
| Entity Name | Mclaren Macomb |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396014601
PECOS PAC ID: 8921912791
Enrollment ID: O20040120001000 |
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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 Tammy Samuel Dusevic 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 |
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Dr Tammy Samuel Dusevic, DO
13425 19 Mile Rd Ste 100,
Sterling Hts, MI 48313-1991
Ph: (586) 843-3935 | Dr Tammy Samuel Dusevic, DO
13425 19 Mile Rd Ste 100,
Sterling Hts, MI 48313
Ph: (586) 843-3935 |
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