Kristina Hammoudeh, in Dearborn, MI - Medicare Psychologist Provider

Kristina Hammoudeh, is a medicare enrolled "Psychologist" provider in Dearborn, Michigan. Her current practice location is 6 Parklane Blvd, Suite 695, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 271-8170.

Kristina Hammoudeh is licensed to practice in Michigan (license number 6361002821) 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 1760812820.

Contact Information

	Kristina Hammoudeh,
	6 Parklane Blvd, Suite 695, Dearborn, MI 48126-2696
	(313) 271-8170
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristina Hammoudeh
Gender	Female
Speciality	Psychologist
Location	6 Parklane Blvd, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760812820
Provider Enumeration Date: 11/26/2013
Last Update Date: 05/04/2023

Medicare PECOS Information:

PECOS PAC ID: 5698140515
Enrollment ID: I20230406002534

Medical Identifiers

Medical identifiers for Kristina Hammoudeh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760812820	NPI	-	NPPES
6301014382	Other	MI	LICENCE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301014382 (Michigan)	Secondary
103T00000X	Psychologist	6361002821 (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. Kristina Hammoudeh allows following entities to bill medicare on her behalf.

Entity Name	Apex Behavioral Health Dearborn Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467732644 PECOS PAC ID: 7911165949 Enrollment ID: O20120222000840

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. Kristina Hammoudeh 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
Kristina Hammoudeh, 6 Parklane Blvd, Suite 695, Dearborn, MI 48126-2696 Ph: (313) 271-8170	Kristina Hammoudeh, 6 Parklane Blvd, Suite 695, Dearborn, MI 48126-2696 Ph: (313) 271-8170

Reviews and Comments

Psychologist in Dearborn, MI

Sara Pierce, M.S., TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Ms. Jessica Dawn Clemons, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Parklane Blvd Ste 200e, Dearborn, MI 48126 Phone: 313-846-2606 Fax: 313-846-2657
Yasmeen Saba El-masry, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Mr. Giovanni Vitale Ii, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23061 Nona St, Dearborn, MI 48124 Phone: 313-969-7750
Layla Obad, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Laurene Saad-younis, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5808 Schaefer Rd, Dearborn, MI 48126 Phone: 313-467-4653
Dr. Maritaconstance Supan, PH.D., LLP, DAPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 934 Mason St, Dearborn, MI 48124 Phone: 313-278-8053 Fax: 313-278-8053

Kristina Hammoudeh, - Medicare Psychologist in Dearborn, MI