Kaazim Mukhtaar Hasan, is a medicare enrolled "Emergency Medicine" physician in Chesterfield, Michigan. His current practice location is
36750 26 Mile Rd, Chesterfield, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 879-2000.
Kaazim Mukhtaar Hasan is licensed to practice in Illinois (license number 036165270) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265051551.
Physician's Profile
| Full Name | Kaazim Mukhtaar Hasan |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 36750 26 Mile Rd, Chesterfield, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265051551
- Provider Enumeration Date: 04/16/2020
- Last Update Date: 02/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880025691
- Enrollment ID: I20230404000932
Medical Identifiers
Medical identifiers for Kaazim Mukhtaar Hasan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265051551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 01090719A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | ME164029 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | 4301509205 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 83228-20 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 036165270 (Illinois) | 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. Kaazim Mukhtaar Hasan allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Department Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225083595
PECOS PAC ID: 9436048998
Enrollment ID: O20040312000466 |
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| Entity Name | Observation Emergency Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497920524
PECOS PAC ID: 9133292410
Enrollment ID: O20080719000024 |
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| Entity Name | Cep America Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912687328
PECOS PAC ID: 6608056171
Enrollment ID: O20230815000906 |
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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. Kaazim Mukhtaar Hasan 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 |
|---|
Kaazim Mukhtaar Hasan,
36750 26 Mile Rd,
Chesterfield, MI 48047-2920
Ph: (586) 879-2000 | Kaazim Mukhtaar Hasan,
36750 26 Mile Rd,
Chesterfield, MI 48047-2920
Ph: (586) 879-2000 |
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