Michael Bousamra Ii, MD - Medicare Thoracic Surgery in Grosse Pointe Woods, MI

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Michael Bousamra Ii, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Grosse Pointe Woods, Michigan. He went to University Of Michigan Medical School and graduated in 1985 and has 39 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Ascension Providence Hospital, Ascension Macomb Oakland Hospital and 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.

Contact Information

Michael Bousamra Ii, MD
19229 Mack Ave Ste 23,
Grosse Pointe Woods, MI 48236-2857
(248) 849-2600
(248) 849-2610

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Physician's Profile

Full NameMichael Bousamra Ii
GenderMale
SpecialityThoracic Surgery
Experience39 Years
Location19229 Mack Ave Ste 23, Grosse Pointe Woods, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Bousamra Ii attended and graduated from University Of Michigan Medical School in 1985
  NPI Data:
  • NPI Number: 1669411781
  • Provider Enumeration Date: 06/05/2006
  • Last Update Date: 12/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8628975885
  • Enrollment ID: I20201217000213

Medical Identifiers

Medical identifiers for Michael Bousamra Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669411781NPI-NPPES
200204120MedicaidIN
64010325MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 01066681A (Indiana)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 35096 (Kentucky)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 4301503387 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Macomb Oakland Hosp-warren CampusWarren, MIHospital
Ascension Providence Hospital, Southfield And NoviSouthfield, MIHospital
Ascension St John HospitalDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Providence Hospital6103738703178
Ascension Macomb Oakland Hospital7315859725118

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. Michael Bousamra Ii allows following entities to bill medicare on his behalf.
Entity NameAscension Providence Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942265236
PECOS PAC ID: 6103738703
Enrollment ID: O20031103000326
Entity NameAscension Macomb Oakland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134176472
PECOS PAC ID: 7315859725
Enrollment ID: O20031107000047
Entity NameSeton Health Corporation Of Southeastern Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598177065
PECOS PAC ID: 2567689540
Enrollment ID: O20140814002590

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 AddressPractice Location Address
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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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Grosse Pointe Woods, MI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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