Hazel Park Primary Care Llc - Medicare in Hazel Park, MI

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Hazel Park Primary Care Llc is a medicare enrolled "Family Medicine" provider in Hazel Park, Michigan. Their current practice location is 624 E 9 Mile Rd Ste B, Hazel Park, Michigan. You can reach out to their office (for appointments etc.) via phone at (248) 629-7497.

Hazel Park Primary Care Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Hazel Park Primary Care Llc 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 1306407440.

Contact Information

Hazel Park Primary Care Llc
624 E 9 Mile Rd Ste B,
Hazel Park, MI 48030-1842
(248) 629-7497
(248) 397-8474

Map and Direction




Healthcare Provider's Profile

Full NameHazel Park Primary Care Llc
TypeFacility
SpecialityFamily Medicine
Location624 E 9 Mile Rd Ste B, Hazel Park, Michigan
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306407440
  • Provider Enumeration Date: 06/27/2019
  • Last Update Date: 08/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961731997
  • Enrollment ID: O20190917000580

Medical Identifiers

Medical identifiers for Hazel Park Primary Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306407440NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
2083A0300XPreventive Medicine - Addiction Medicine (* (Not Available))Secondary
207Q00000XFamily 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. Hazel Park Primary Care Llc acts as a billing entity for following providers:
Provider NameNagy Rostom Kheir
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1518900661
PECOS PAC ID: 0244242857
Enrollment ID: I20060626000036
Provider NameMohamed Galal Saleh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861566598
PECOS PAC ID: 4284617663
Enrollment ID: I20150918000109
Provider NameDebra Hamilton
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1164954129
PECOS PAC ID: 1355604307
Enrollment ID: I20180404002619
Provider NameJennifer Syeda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245936012
PECOS PAC ID: 1355706854
Enrollment ID: I20230507000080
Provider NameColleen Kinaia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972203024
PECOS PAC ID: 4688030190
Enrollment ID: I20230525000152
Provider NameElzbieta Baba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255859195
PECOS PAC ID: 9436503869
Enrollment ID: I20231003003195
Provider NameRaven Richardson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083375380
PECOS PAC ID: 9133578578
Enrollment ID: I20231212000246

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. Hazel Park Primary Care Llc 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 AddressPractice Location Address
Hazel Park Primary Care Llc
Po Box 365,
Hazel Park, MI 48030-0365

Ph: (248) 629-7497		Hazel Park Primary Care Llc
624 E 9 Mile Rd Ste B,
Hazel Park, MI 48030-1842

Ph: (248) 629-7497

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.