Michigan Retina Center, Pc is a medicare enrolled "Ophthalmology" provider in Dearborn, Michigan. Their current practice location is
25230 Michigan Ave, Dearborn, Michigan. You can reach out to their office (for appointments etc.) via phone at
(313) 441-2227.
Michigan Retina Center, Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Michigan Retina Center, Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1164960571.
Healthcare Provider's Profile
| Full Name | Michigan Retina Center, Pc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 25230 Michigan Ave, Dearborn, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164960571
- Provider Enumeration Date: 02/06/2017
- Last Update Date: 07/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062797830
- Enrollment ID: O20170316002124
Medical Identifiers
Medical identifiers for Michigan Retina Center, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164960571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| 207WX0107X | Ophthalmology - Retina Specialist | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Michigan Retina Center, Pc acts as a billing entity for following providers:
| Provider Name | Asheesh Tewari |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1043248032
PECOS PAC ID: 2163450529
Enrollment ID: I20070625000169 |
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| Provider Name | Daman Toor Gupta |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1962718288
PECOS PAC ID: 3971892449
Enrollment ID: I20210510002793 |
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| Provider Name | Michael Chaouki Gemayel |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1194258624
PECOS PAC ID: 4082969795
Enrollment ID: I20230601000449 |
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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. Michigan Retina Center, Pc 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 |
|---|
Michigan Retina Center, Pc
25230 Michigan Ave,
Dearborn, MI 48124-1715
Ph: (313) 441-2227 | Michigan Retina Center, Pc
25230 Michigan Ave,
Dearborn, MI 48124-1715
Ph: (313) 441-2227 |
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