Ellen Bouazizi, MD in Royal Oak, MI - Medicare Internal Medicine

Ellen Bouazizi, MD is a medicare enrolled "Internal Medicine" physician in Royal Oak, Michigan. Her current practice location is 3535 W 13 Mile Rd, Ll- South Clinic, Royal Oak, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 551-3000.

Ellen Bouazizi is licensed to practice in Michigan (license number 4351049822) 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 1730767286.

Contact Information

	Ellen Bouazizi, MD
	3535 W 13 Mile Rd, Ll- South Clinic, Royal Oak, MI 48073-6770
	(248) 551-3000
	(248) 551-2032

Map and Direction

Physician's Profile

Full Name	Ellen Bouazizi
Gender	Female
Speciality	Internal Medicine
Location	3535 W 13 Mile Rd, Royal Oak, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730767286
Provider Enumeration Date: 03/29/2021
Last Update Date: 01/29/2023

Medicare PECOS Information:

PECOS PAC ID: 3476959453
Enrollment ID: I20210831002910

Medical Identifiers

Medical identifiers for Ellen Bouazizi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730767286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4351049822 (Michigan)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	4351049822 (Michigan)	Primary

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. Ellen Bouazizi 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
Ellen Bouazizi, MD 3535 W 13 Mile Rd, Ll-south Clinic, Royal Oak, MI 48073-6770 Ph: (248) 551-3000	Ellen Bouazizi, MD 3535 W 13 Mile Rd, Ll- South Clinic, Royal Oak, MI 48073-6770 Ph: (248) 551-3000

Reviews and Comments

Internal Medicine Doctors in Royal Oak, MI

Nicole Marijanovich, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7999 Fax: 248-898-0580
Vinayata Manuballa Kareti, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 661-948-0803
Christopher Carpenter, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3535 W 13 Mile Rd Ste 605, Royal Oak, MI 48073 Phone: 248-551-0495
Dr. Matthew Burns Cotant, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3577 W 13 Mile Rd, Suite 404, Royal Oak, MI 48073 Phone: 248-551-6900 Fax: 248-551-6909
Geoffrey Prysak, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7999
Taylor Schoenheit, Internal Medicine Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6509
Shane Mckenna, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-3000 Fax: 248-551-9425

Ellen Bouazizi, MD - Medicare Internal Medicine in Royal Oak, MI