Mr Kyle T Bussis, - Medicare Radiology in Detroit, MI

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Mr Kyle T Bussis, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Detroit, Michigan. His current practice location is 2799 W Grand Blvd, Henry Ford Hospital, Medical Education Department, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 916-3581.

Mr Kyle T Bussis is licensed to practice in Arizona (license number 66671) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811422777.

Contact Information

Mr Kyle T Bussis,
2799 W Grand Blvd, Henry Ford Hospital, Medical Education Department,
Detroit, MI 48202-2608
(313) 916-3581
Not Available

Map and Direction




Physician's Profile

Full NameMr Kyle T Bussis
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811422777
  • Provider Enumeration Date: 04/27/2017
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577833185
  • Enrollment ID: I20220923002232

Medical Identifiers

Medical identifiers for Mr Kyle T Bussis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811422777NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 66671 (Arizona)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. Mr Kyle T Bussis allows following entities to bill medicare on his behalf.
Entity NameSmi Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20180829003142
Entity NameSouth Sound Radiologists Inc P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902990500
PECOS PAC ID: 1254229305
Enrollment ID: O20220808002471
Entity NameEvergreen Radia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922095694
PECOS PAC ID: 4587568076
Enrollment ID: O20220811000481
Entity NameRadia Inc P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932196607
PECOS PAC ID: 9931012812
Enrollment ID: O20220811002101
Entity NameSwedish Radia Imaging Center At Edmonds Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164494373
PECOS PAC ID: 5496778292
Enrollment ID: O20220811002574
Entity NameRadia Imaging Center Holdings Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639653017
PECOS PAC ID: 6305182965
Enrollment ID: O20220811002836

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. Mr Kyle T Bussis 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
Mr Kyle T Bussis,
2799 W. Grand Boulevard, Henry Ford Hospital, Medical Education Department,
Detroit, MI 48202-2608

Ph: (313) 916-3581		Mr Kyle T Bussis,
2799 W Grand Blvd, Henry Ford Hospital, Medical Education Department,
Detroit, MI 48202-2608

Ph: (313) 916-3581

Reviews and Comments


Radiology Doctors in Detroit, MI

Dr. Brent David Griffith, M.D.
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Rajinder P. Sharma, M.D.
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Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202
Phone: 313-916-2436    
Milan V. Pantelic, M.D.
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Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202
Phone: 313-916-2436    
Kristan Gail Jenkins-mosure, M.D.
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Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 800-653-6568    
Kristin Booth, DO
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Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 517-402-1383    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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