Michael Bousamra Ii, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Grosse Pointe Woods, Michigan. His current practice location is
19229 Mack Ave Ste 23, Grosse Pointe Woods, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 849-2600.
Michael Bousamra Ii is licensed to practice in Michigan (license number 4301503387) 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 1669411781.
Physician's Profile
| Full Name | Michael Bousamra Ii |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 19229 Mack Ave Ste 23, Grosse Pointe Woods, Michigan |
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| Accepts Medicare Assignments | Yes. He 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:
- Michael Bousamra Ii attended and graduated from in
NPI Data:
- NPI Number: 1669411781
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 12/11/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Michael Bousamra Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669411781 | NPI | - | NPPES |
| 200204120 | Medicaid | IN | |
| 64010325 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01066681A (Indiana) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 35096 (Kentucky) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 4301503387 (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. Michael Bousamra Ii 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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Michael Bousamra Ii, MD
16001 W 9 Mile Rd Fl 3,
Southfield, MI 48075-4818
Ph: (248) 849-2600 | Michael Bousamra Ii, MD
19229 Mack Ave Ste 23,
Grosse Pointe Woods, MI 48236-2857
Ph: (248) 849-2600 |
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