Haidy Elazzamy, in Detroit, MI - Medicare Pathology

Haidy Elazzamy, is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Detroit, Michigan. Her current practice location is 22101 Moross Rd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 343-3864.

Haidy Elazzamy is licensed to practice in Michigan (license number 4301508375) 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 1942761622.

Contact Information

	Haidy Elazzamy,
	22101 Moross Rd, Detroit, MI 48236-2148
	(313) 343-3864
	Not Available

Map and Direction

Physician's Profile

Full Name	Haidy Elazzamy
Gender	Female
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	22101 Moross Rd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942761622
Provider Enumeration Date: 03/26/2019
Last Update Date: 06/06/2024

Medicare PECOS Information:

PECOS PAC ID: 1456898972
Enrollment ID: I20240801003637

Medical Identifiers

Medical identifiers for Haidy Elazzamy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942761622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	4301508375 (Michigan)	Primary
207ZC0500X	Pathology - Cytopathology	4301508375 (Michigan)	Secondary

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. Haidy Elazzamy allows following entities to bill medicare on her behalf.

Entity Name	Pathology Specialists Of Southeast Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023100500 PECOS PAC ID: 6608848130 Enrollment ID: O20040806000310

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. Haidy Elazzamy 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
Haidy Elazzamy, 22101 Moross Rd, Detroit, MI 48236-2148 Ph: (313) 343-3864	Haidy Elazzamy, 22101 Moross Rd, Detroit, MI 48236-2148 Ph: (313) 343-3864

Reviews and Comments

Pathology Doctors in Detroit, MI

Mohammad Raoufi, MD Pathology Medicare: Medicare Enrolled Practice Location: Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI 48202 Phone: 313-916-4027
Eleftherios Vouyoukas, MD, MSC Pathology Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000
Nazila Azordegan, Pathology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568
Koichi Maeda, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436
Daniel P Snower, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 Fax: 313-881-4727
Fulvio Lonardo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Harper Hospital Pathology, Detroit, MI 48201 Phone: 313-745-8555 Fax: 313-745-9299
Mousa Ali Al-abbadi, MD Pathology Medicare: Medicare Enrolled Practice Location: Harper Hospital Pathology, 3990 John R, Detroit, MI 48201 Phone: 313-745-8555

Haidy Elazzamy, - Medicare Pathology in Detroit, MI