Mindshape Clinic in Troy, MI - Medicare Internal Medicine

Mindshape Clinic is a medicare enrolled primary clinic (Internal Medicine) in Troy, Michigan. The current practice location for Mindshape Clinic is 3808 Gatwick Dr, Troy, Michigan. For appointments, you can reach them via phone at (515) 650-3031. The mailing address for Mindshape Clinic is 2400 Parmenter Blvd Apt 105b, Royal Oak, Michigan and phone number is (515) 650-3031.

Mindshape Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1174303077. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (515) 650-3031.

Contact Information

	Mindshape Clinic
	3808 Gatwick Dr Troy MI 48083-5173
	(515) 650-3031
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Mindshape Clinic
Speciality	Internal Medicine
Location	3808 Gatwick Dr, Troy, Michigan
Authorized Official Name and Position	Hassan A Khan (CEO/FOUNDER)
Authorized Official Contact	5156503031
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mindshape Clinic 2400 Parmenter Blvd Apt 105b Royal Oak MI 48073-1334 Ph: (515) 650-3031	Mindshape Clinic 3808 Gatwick Dr Troy MI 48083-5173 Ph: (515) 650-3031

NPI Details:

NPI Number	1174303077
Provider Enumeration Date	09/29/2023
Last Update Date	11/16/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	6608222369
Medicare Enrollment ID	O20231101000994

Medical Identifiers

Medical identifiers for Mindshape Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174303077	NPI	-	NPPES
00427241	Medicaid	NC
7100785550	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mindshape Clinic acts as a billing entity for following providers:

Provider Name	Hassan Ali Khan
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1033631858 PECOS PAC ID: 2769739465 Enrollment ID: I20220118001233

Reviews and Comments

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Mindshape Clinic - Medicare Primary Care in Troy, MI