Dr Dina Fakhouri Bain, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Warren, Michigan. Her current practice location is
12000 E 12 Mile Rd, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 570-5000.
Dr Dina Fakhouri Bain is licensed to practice in * (Not Available) (license number ) 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 1790274686.
Physician's Profile
Full Name | Dr Dina Fakhouri Bain |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 12000 E 12 Mile Rd, Warren, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790274686
- Provider Enumeration Date: 05/07/2018
- Last Update Date: 01/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729470398
- Enrollment ID: I20220112001394
Medical Identifiers
Medical identifiers for Dr Dina Fakhouri Bain such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790274686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RG0100X | Internal Medicine - Gastroenterology | 5151013348 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Dr Dina Fakhouri Bain 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 |
Dr Dina Fakhouri Bain, DO 5701 Bow Pointe Dr Ste 370, Clarkston, MI 48346-5403 Ph: (248) 625-4055 | Dr Dina Fakhouri Bain, DO 12000 E 12 Mile Rd, Warren, MI 48093-3570 Ph: (586) 570-5000 |
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