Dr Omar Samih Qaqish, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Garden City, Michigan. His current practice location is
6245 Inkster Rd, Garden City, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 458-3405.
Dr Omar Samih Qaqish is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578067369.
Physician's Profile
Full Name | Dr Omar Samih Qaqish |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 6245 Inkster Rd, Garden City, 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: 1578067369
- Provider Enumeration Date: 03/19/2018
- Last Update Date: 11/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587058607
- Enrollment ID: I20220304002142
Medical Identifiers
Medical identifiers for Dr Omar Samih Qaqish such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578067369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 2186120341 (Michigan) | Secondary |
207R00000X | Internal Medicine | 4301504324 (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 Omar Samih Qaqish 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 Omar Samih Qaqish, MD 6245 Inkster Rd, Garden City, MI 48135-4001 Ph: (734) 458-3405 | Dr Omar Samih Qaqish, MD 6245 Inkster Rd, Garden City, MI 48135-4001 Ph: (734) 458-3405 |
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