Lourdes Angeles Alfonso, MD in Detroit, MI - Medicare Physical Medicine & Rehabilitation

Lourdes Angeles Alfonso, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Detroit, Michigan. Her current practice location is 261 Mack Ave, Rehabilitation Institute Of Michigan, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 745-4600.

Lourdes Angeles Alfonso is licensed to practice in Michigan (license number 4301080618) 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 1720025323.

Contact Information

	Lourdes Angeles Alfonso, MD
	261 Mack Ave, Rehabilitation Institute Of Michigan, Detroit, MI 48201-2417
	(313) 745-4600
	(313) 745-1063

Map and Direction

Physician's Profile

Full Name	Lourdes Angeles Alfonso
Gender	Female
Speciality	Physical Medicine & Rehabilitation
Location	261 Mack Ave, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720025323
Provider Enumeration Date: 06/01/2006
Last Update Date: 10/14/2016

Medicare PECOS Information:

PECOS PAC ID: 1355368176
Enrollment ID: I20051031000489

Medical Identifiers

Medical identifiers for Lourdes Angeles Alfonso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720025323	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	4301080618 (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. Lourdes Angeles Alfonso allows following entities to bill medicare on her behalf.

Entity Name	University Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518

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. Lourdes Angeles Alfonso 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
Lourdes Angeles Alfonso, MD 1560 E Maple Rd, Suite 400-credentialing, Troy, MI 48083-1138 Ph: (313) 745-4600	Lourdes Angeles Alfonso, MD 261 Mack Ave, Rehabilitation Institute Of Michigan, Detroit, MI 48201-2417 Ph: (313) 745-4600

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Detroit, MI

Monica Marie Loving, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4646 John R St, Detroit, MI 48201 Phone: 313-576-1000
Dr. Medha Shah, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-745-2550
Mr. Slawomir Edward Janiszewski, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4646 John R St, Detroit, MI 48201 Phone: 313-576-3511
Peter Hanna Gumma, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 17187 Schaefer Hwy, Detroit, MI 48235 Phone: 313-367-2767 Fax: 313-367-2818
Dr. Matthew Thomas Santa Barbara, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2181
Abulhasan Sayed, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-745-9733 Fax: 313-745-1063
Ali Ahmad Bitar, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: Rehabilitation Institute Of Michigan, 261 Mack Blvd, Detroit, MI 48201 Phone: 313-966-0544 Fax: 313-745-1065

Lourdes Angeles Alfonso, MD - Medicare Physical Medicine & Rehabilitation in Detroit, MI