| Dr Hussein A Huraibi, MD | |
|
11650 Belleville Rd Ste 101, Van Buren Township, MI 48111-3382 | |
| (734) 699-9888 | |
| (734) 325-6430 |
| Full Name | Dr Hussein A Huraibi |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 31 Years |
| Location | 11650 Belleville Rd Ste 101, Van Buren Township, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790737799 | NPI | - | NPPES |
| 11279065 | Other | MI | CAQH |
| 0P12330001 | Other | MI | MEDICARE IND PIN # |
| 1790737799 | Other | MI | BCBS TYPE 1 (IND) NPI # |
| 4301066286 | Other | MI | STATE LICENSE # |
| 470874910 | Medicaid | MI | |
| 5315057615 | Other | MI | CDS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4301066286 (Michigan) | Primary |
| 207R00000X | Internal Medicine | 4301066286 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center | Roseburg, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vernor Urgent Care Pllc | 2466685649 | 3 |
| Van Buren Urgent Care Center Pllc | 6204960685 | 5 |
| Cep America - Anesthesia Pc | 3678897915 | 397 |
| Entity Name | Ambulatory Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952350555 PECOS PAC ID: 5092729020 Enrollment ID: O20060130000526 |
| Entity Name | Van Buren Urgent Care Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538497250 PECOS PAC ID: 6204960685 Enrollment ID: O20100820000525 |
| Entity Name | Detroit Anesthesia Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316212988 PECOS PAC ID: 3173789088 Enrollment ID: O20120723000043 |
| Entity Name | Vernor Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508205329 PECOS PAC ID: 2466685649 Enrollment ID: O20140424001421 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hussein A Huraibi, MD Po Box 87966, Canton, MI 48187-0966 Ph: () - | Dr Hussein A Huraibi, MD 11650 Belleville Rd Ste 101, Van Buren Township, MI 48111-3382 Ph: (734) 699-9888 |