Munther I Ajlouni, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Grosse Pointe Park, Michigan. His current practice location is
Henry Ford Health System, 15401 East Jefferson, Grosse Pointe Park, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 824-4800.
Munther I Ajlouni is licensed to practice in Michigan (license number 4301402608) 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 1134297724.
Physician's Profile
Full Name | Munther I Ajlouni |
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Gender | Male |
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Speciality | Radiology - Radiation Oncology |
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Location | Henry Ford Health System, Grosse Pointe Park, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134297724
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8022902956
- Enrollment ID: I20040211001015
Medical Identifiers
Medical identifiers for Munther I Ajlouni such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134297724 | NPI | - | NPPES |
MA402608 | Other | | CHAMPUS-CHAMPUS |
MA402608 | Other | | COMMERCIAL-COMMERCIAL NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | 4301402608 (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. Munther I Ajlouni allows following entities to bill medicare on his behalf.
Entity Name | Henry Ford Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
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Entity Name | W.a. Foote Memorial Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760437826 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000691 |
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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. Munther I Ajlouni 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 |
Munther I Ajlouni, MD Henry Ford Health System, 15401 East Jefferson, Grosse Pointe Park, MI 48230 Ph: (313) 824-4800 | Munther I Ajlouni, MD Henry Ford Health System, 15401 East Jefferson, Grosse Pointe Park, MI 48230 Ph: (313) 824-4800 |
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