Fahmida Poly, MD - Medicare Family Medicine in Hamtramck, MI

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Fahmida Poly, MD is a medicare enrolled "Family Medicine" physician in Hamtramck, Michigan. Her current practice location is 12101 Joseph Campau St Ste F, Hamtramck, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 893-6218.

Fahmida Poly is licensed to practice in Michigan (license number 4301510432) 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 1295227460.

Contact Information

Fahmida Poly, MD
12101 Joseph Campau St Ste F,
Hamtramck, MI 48212-2590
(313) 893-6218
Not Available

Map and Direction




Physician's Profile

Full NameFahmida Poly
GenderFemale
SpecialityFamily Medicine
Location12101 Joseph Campau St Ste F, Hamtramck, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295227460
  • Provider Enumeration Date: 06/04/2018
  • Last Update Date: 05/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3274880372
  • Enrollment ID: I20211216000302

Medical Identifiers

Medical identifiers for Fahmida Poly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295227460NPI-NPPES
4301510432OtherMISTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101273387 (Virginia)Secondary
207Q00000XFamily Medicine MT215117 (Pennsylvania)Secondary
207Q00000XFamily Medicine 4301510432 (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. Fahmida Poly allows following entities to bill medicare on her behalf.
Entity NameSentara Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466
Entity NamePmr Virginia Holding Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083167001
PECOS PAC ID: 9537576608
Enrollment ID: O20210408000505

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. Fahmida Poly 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
Fahmida Poly, MD
5303 Rose Blvd,
Bloomfield Hills, MI 48302-2184

Ph: (586) 339-6274		Fahmida Poly, MD
12101 Joseph Campau St Ste F,
Hamtramck, MI 48212-2590

Ph: (313) 893-6218

Reviews and Comments


Family Medicine Doctors in Hamtramck, MI

Dr. Obioma S Agomuoh, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 3120 Carpenter St, Suite 111, Hamtramck, MI 48212
Phone: 313-893-8314    Fax: 313-893-7532
Rachel Joanna Berry, MS, PA
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4420 E Davison St, Hamtramck, MI 48212
Phone: 313-369-1500    
Dr. Redwan Uddin, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 9740 Conant St, Hamtramck, MI 48212
Phone: 313-556-9900    Fax: 313-556-9911
Dr. Meraj Yunus, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3120 Carpenter St, Suite 201, Hamtramck, MI 48212
Phone: 313-369-1000    Fax: 313-369-1002
Dr. Cynthia Cohen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9100 Brombach St, Hamtramck, MI 48212
Phone: 313-972-9001    Fax: 313-369-2944
Dr. Basil Azmi Abdulmuti Qandil, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 9222 Joseph Campau St, Suite A, Hamtramck, MI 48212
Phone: 313-871-8900    Fax: 313-871-8901

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.