Faesal Elbakoush, - Medicare Pediatric Medicine in Detroit, MI

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Faesal Elbakoush, is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Detroit, Michigan. He graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Henry Ford Health St. John Hospital and his current practice location is 22101 Moross Rd Fl Ccb5, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 343-4000.

Faesal Elbakoush is licensed to practice in Michigan (license number 4301106817) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336545417.

Contact Information

Faesal Elbakoush,
22101 Moross Rd Fl Ccb5,
Detroit, MI 48236-2148
(313) 343-4000
Not Available

Map and Direction




Physician's Profile

Full NameFaesal Elbakoush
GenderMale
SpecialityPediatric Medicine
Experience22 Years
Location22101 Moross Rd Fl Ccb5, Detroit, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Faesal Elbakoush graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1336545417
  • Provider Enumeration Date: 11/17/2014
  • Last Update Date: 07/21/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1355655705
  • Enrollment ID: I20150730010790

Medical Identifiers

Medical identifiers for Faesal Elbakoush such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336545417NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301106817 (Michigan)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 110897 (Georgia)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 79871 (Arizona)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 4301106817 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Health St. John Hospital3173424082332

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. Faesal Elbakoush allows following entities to bill medicare on his behalf.
Entity NameHenry Ford Health Providence Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942265236
PECOS PAC ID: 6103738703
Enrollment ID: O20031103000326
Entity NameSpectrum Health Primary Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091
Entity NameUniversity Pediatricians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811920549
PECOS PAC ID: 9638070568
Enrollment ID: O20040115000125
Entity NameHenry Ford Health St. John Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043478910
PECOS PAC ID: 3173424082
Enrollment ID: O20040115000409
Entity NameMclaren Macomb
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396014601
PECOS PAC ID: 8921912791
Enrollment ID: O20040120001000
Entity NameMclaren Thumb Region
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245257880
PECOS PAC ID: 6800709221
Enrollment ID: O20040302000921
Entity NameHenry Ford Health Providence Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265497226
PECOS PAC ID: 6103738703
Enrollment ID: O20101020000296
Entity NameVhs Physicians of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073827101
PECOS PAC ID: 8921289760
Enrollment ID: O20110225000849

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. Faesal Elbakoush 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
Faesal Elbakoush,
22101 Moross Rd Fl Ccb5,
Detroit, MI 48236-2148

Ph: (313) 966-5051		Faesal Elbakoush,
22101 Moross Rd Fl Ccb5,
Detroit, MI 48236-2148

Ph: (313) 343-4000

Reviews and Comments


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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.