Mrs Bethany Anne Musallam, CPNP-PC in Shelby Township, MI

Mrs Bethany Anne Musallam, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Shelby Township, Michigan. Her current practice location is 15125 22 Mile Rd., Shelby Pediatrics, Shelby Township, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 532-0599.

Mrs Bethany Anne Musallam is licensed to practice in Michigan (license number 4704244961) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295912624.

Contact Information

	Mrs Bethany Anne Musallam, CPNP-PC
	15125 22 Mile Rd., Shelby Pediatrics, Shelby Township, MI 48315
	(586) 532-0599
	(586) 566-8967

Map and Direction

Provider's Profile

Full Name	Mrs Bethany Anne Musallam
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	15125 22 Mile Rd., Shelby Township, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295912624
Provider Enumeration Date: 01/29/2008
Last Update Date: 07/29/2022

Medicare PECOS Information:

PECOS PAC ID: 3072670082
Enrollment ID: I20090318000597

Medical Identifiers

Medical identifiers for Mrs Bethany Anne Musallam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295912624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704244961 (Michigan)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	4704244961 (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. Mrs Bethany Anne Musallam allows following entities to bill medicare on her behalf.

Entity Name	Beaumont Medical Group Hospital Based Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796

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. Mrs Bethany Anne Musallam 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
Mrs Bethany Anne Musallam, CPNP-PC 15125 22 Mile Rd., Shelby Pediatrics, Shelby Twp, MI 48315 Ph: (586) 532-0599	Mrs Bethany Anne Musallam, CPNP-PC 15125 22 Mile Rd., Shelby Pediatrics, Shelby Township, MI 48315 Ph: (586) 532-0599

Reviews and Comments

Nurse Practitioner Nurses in Shelby Township, MI

Russell Miller, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50505 Schoenherr Rd, Ste. 340, Shelby Township, MI 48315 Phone: 586-731-8400
Miss Joey Fattizzo, FNP, RN, RDH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45445 Mound Round, Suite 105, Shelby Township, MI 48317 Phone: 586-200-8707 Fax: 248-282-1313
Mrs. Karey Hartford, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49310 Van Dyke Ave, Shelby Township, MI 48317 Phone: 586-731-8900 Fax: 586-726-5439
Diana Scanlon, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315 Phone: 586-247-4300 Fax: 586-532-6496
Tyler Mclaughlan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14270 Oakwood Dr, Shelby Township, MI 48315 Phone: 586-900-9444
Kathleen Lewis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46961 Van Dyke Ave, Shelby Township, MI 48317 Phone: 586-991-5205
Theola J Rivera, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8180 26 Mile Rd, Suite 100, Shelby Township, MI 48316 Phone: 586-336-7321 Fax: 586-336-7356

Mrs Bethany Anne Musallam, CPNP-PC - Medicare Nurse Practitioner in Shelby Township, MI