Dr Mariam Ahmad Hazem, MD - Medicare Internal Medicine in Detroit, MI

  1. Home
  2. Internal Medicine
  3. MI
  4. Detroit
Dr Mariam Ahmad Hazem, MD is a medicare enrolled "Internal Medicine" physician in Detroit, Michigan. Her current practice location is 4201 Saint Antoine St Ste 5c, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 577-5030.

Dr Mariam Ahmad Hazem is licensed to practice in California (license number A111423) 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 1518087956.

Contact Information

Dr Mariam Ahmad Hazem, MD
4201 Saint Antoine St Ste 5c,
Detroit, MI 48201-2153
(313) 577-5030
(313) 745-4707

Map and Direction




Physician's Profile

Full NameDr Mariam Ahmad Hazem
GenderFemale
SpecialityInternal Medicine
Location4201 Saint Antoine St Ste 5c, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518087956
  • Provider Enumeration Date: 03/30/2007
  • Last Update Date: 03/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2567507114
  • Enrollment ID: I20250313000751

Medical Identifiers

Medical identifiers for Dr Mariam Ahmad Hazem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518087956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301087742 (Michigan)Secondary
208M00000XHospitalist 4301087742 (Michigan)Secondary
207R00000XInternal Medicine A111423 (California)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 Mariam Ahmad Hazem allows following entities to bill medicare on her behalf.
Entity NameQuantum Healthcare Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568490597
PECOS PAC ID: 5294647574
Enrollment ID: O20040924000422
Entity NameClinic Services Of California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578958450
PECOS PAC ID: 7810209715
Enrollment ID: O20150707001394

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 Mariam Ahmad Hazem 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
Dr Mariam Ahmad Hazem, MD
1560 E Maple Rd, Suite 400-credentialing,
Troy, MI 48083-1189

Ph: (248) 581-5972		Dr Mariam Ahmad Hazem, MD
4201 Saint Antoine St Ste 5c,
Detroit, MI 48201-2153

Ph: (313) 577-5030

Reviews and Comments


Internal Medicine Doctors in Detroit, MI

Dr. Saba Alan Francis, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 50 E Canfield St, Detroit, MI 48201
Phone: 313-745-4525    
Dr. Roopkiranjot Kahlon, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4201 Saint Antoine St, University Health Center 2e, Detroit, MI 48201
Phone: 313-745-4525    
Avi Cohen, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Waleed Obaid, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6071 W Outer Dr, Detroit, MI 48235
Phone: 313-966-3250    
Lindsey Aurora,
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Alexander Garbarino,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Maria Diab,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 800-653-6568    Fax: 313-876-1305

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.