Dr Maria Kathryn Souphis, DO in Royal Oak, MI

Dr Maria Kathryn Souphis, DO is a medicare enrolled "Pediatrics" physician in Royal Oak, Michigan. Her current practice location is 309 E 11 Mile Rd # B, Royal Oak, Michigan. You can reach out to her office (for appointments etc.) via phone at (947) 522-4900.

Dr Maria Kathryn Souphis is licensed to practice in Michigan (license number 5101027301) 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 1821611922.

Contact Information

	Dr Maria Kathryn Souphis, DO
	309 E 11 Mile Rd # B, Royal Oak, MI 48067-2735
	(947) 522-4900
	(947) 522-4910

Map and Direction

Physician's Profile

Full Name	Dr Maria Kathryn Souphis
Gender	Female
Speciality	Pediatrics
Location	309 E 11 Mile Rd # B, Royal Oak, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821611922
Provider Enumeration Date: 05/22/2020
Last Update Date: 06/27/2023

Medicare PECOS Information:

PECOS PAC ID: 5991126153
Enrollment ID: I20230721001925

Medical Identifiers

Medical identifiers for Dr Maria Kathryn Souphis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821611922	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	5151014268 (Michigan)	Secondary
208000000X	Pediatrics	5101027301 (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. Dr Maria Kathryn Souphis allows following entities to bill medicare on her behalf.

Entity Name	William Beaumont Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083833875 PECOS PAC ID: 9335051093 Enrollment ID: O20031104000279

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 Maria Kathryn Souphis 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 Maria Kathryn Souphis, DO 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () -	Dr Maria Kathryn Souphis, DO 309 E 11 Mile Rd # B, Royal Oak, MI 48067-2735 Ph: (947) 522-4900

Reviews and Comments

Pediatrics Doctors in Royal Oak, MI

Melissa Joy Drewry, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000
Dr. Jamal Kriem, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073 Phone: 248-551-0487 Fax: 248-551-3696
Elliott Weinhouse, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3535 W 13 Mile Rd Ste 108, Royal Oak, MI 48073 Phone: 248-551-2900 Fax: 248-551-0800
Dr. Evelyn J Brito, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-2047 Fax: 248-551-2092
Mrs. Dana Hussein, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3535 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-3000
Hannah Gadway, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 W Thirteen Mile Rd, Gme Offic, Royal Oak, MI 48073 Phone: 248-551-6489
Dr. Nicole R Peltz, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27332 Woodward Ave, Ste 100, Royal Oak, MI 48067 Phone: 248-543-1545 Fax: 248-543-8638

Dr Maria Kathryn Souphis, DO - Medicare Pediatrics in Royal Oak, MI