Suraiya Khanom Azom, MD in Wayne, MI - Medicare Family Practice

Suraiya Khanom Azom, MD is a medicare enrolled "Family Medicine" physician in Wayne, Michigan. She went to Wayne State University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Oakwood Ambulatory Llc and her current practice location is 33155 Annapolis St, Wayne, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 467-2482.

Suraiya Khanom Azom is licensed to practice in Michigan (license number 4301104094) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619319894.

Contact Information

	Suraiya Khanom Azom, MD
	33155 Annapolis St, Wayne, MI 48184-2405
	(734) 467-2482
	Not Available

Map and Direction

Physician's Profile

Full Name	Suraiya Khanom Azom
Gender	Female
Speciality	Family Practice
Experience	11 Years
Location	33155 Annapolis St, Wayne, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Suraiya Khanom Azom attended and graduated from Wayne State University School Of Medicine in 2013

NPI Data:

NPI Number: 1619319894
Provider Enumeration Date: 07/29/2013
Last Update Date: 07/29/2013

Medicare PECOS Information:

PECOS PAC ID: 2062711682
Enrollment ID: I20160624001299

Medical Identifiers

Medical identifiers for Suraiya Khanom Azom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619319894	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301104094 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital - Dearborn	Dearborn, MI	Hospital
Beaumont Hospital - Trenton	Trenton, MI	Hospital
Beaumont Hospital - Taylor	Taylor, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oakwood Ambulatory Llc	1850282914	267

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. Suraiya Khanom Azom allows following entities to bill medicare on her behalf.

Entity Name	Oakwood Ambulatory Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401

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. Suraiya Khanom Azom 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
Suraiya Khanom Azom, MD 33155 Annapolis St, Wayne, MI 48184-2405 Ph: (734) 467-2482	Suraiya Khanom Azom, MD 33155 Annapolis St, Wayne, MI 48184-2405 Ph: (734) 467-2482

Reviews and Comments

Family Medicine Doctors in Wayne, MI

Christopher Lajeunesse, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-2483
Nassrine Naim, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4000
Elizabeth Lewandowski, Family Medicine Medicare: Medicare Enrolled Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4000
Tera Melanne Goldmakher, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 33155 Annapolis St, Emergency Dept, Wayne, MI 48184 Phone: 734-467-4042 Fax: 734-467-5500
Houda Zreik, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-2483 Fax: 734-467-2485
Matthew J Ouellette, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-2483
Dr. Nicholus H Yee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4000

Suraiya Khanom Azom, MD - Medicare Family Practice in Wayne, MI