Homam Moussa Pacha, - Medicare Cardiovascular Disease (cardiology) in Detroit, MI

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Homam Moussa Pacha, is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Detroit, Michigan. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Lakeside Heart And Vascular Center Pllc and his current practice location is 4201 Saint Antoine St # 9c, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 745-5146.

Homam Moussa Pacha is licensed to practice in Arizona (license number 67883) 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 1275995425.

Contact Information

Homam Moussa Pacha,
4201 Saint Antoine St # 9c,
Detroit, MI 48201-2153
(313) 745-5146
(313) 745-5146

Map and Direction




Physician's Profile

Full NameHomam Moussa Pacha
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience12 Years
Location4201 Saint Antoine St # 9c, 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:
  • Homam Moussa Pacha graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1275995425
  • Provider Enumeration Date: 03/27/2016
  • Last Update Date: 11/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1153708201
  • Enrollment ID: I20230201000896

Medical Identifiers

Medical identifiers for Homam Moussa Pacha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275995425NPI-NPPES
129869MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology 67883 (Arizona)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 67883 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Havasu Regional Medical CenterLake havasu city, AZHospital
Kingman Regional Medical CenterKingman, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeside Heart And Vascular Center Pllc458783277927

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. Homam Moussa Pacha allows following entities to bill medicare on his behalf.
Entity NameLakeside Heart And Vascular Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801194352
PECOS PAC ID: 4587832779
Enrollment ID: O20110713000658

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. Homam Moussa Pacha 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
Homam Moussa Pacha,
Po Box 3539,
Lake Havasu City, AZ 86405-3539

Ph: (928) 453-2727		Homam Moussa Pacha,
4201 Saint Antoine St # 9c,
Detroit, MI 48201-2153

Ph: (313) 745-5146

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.