Karen L Summe, MD - Medicare General Surgery in Saint Clair Shores, MI

Karen L Summe, MD is a medicare enrolled "Surgery" physician in Saint Clair Shores, Michigan. She went to Louisiana State University School Of Medicine In New Orleans and graduated in 2004 and has 20 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Ascension St John Hospital, Decatur County Memorial Hospital and her current practice location is 29000 Little Mack Ave Ste B, Saint Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 774-8811.

Karen L Summe is licensed to practice in Michigan (license number 4301115468) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336342278.

Contact Information

Karen L Summe, MD
29000 Little Mack Ave Ste B,
Saint Clair Shores, MI 48081
(586) 774-8811
(586) 774-6773

Map and Direction




Physician's Profile

Full NameKaren L Summe
GenderFemale
SpecialityGeneral Surgery
Experience20 Years
Location29000 Little Mack Ave Ste B, Saint Clair Shores, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karen L Summe attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2004
  NPI Data:
  • NPI Number: 1336342278
  • Provider Enumeration Date: 06/07/2007
  • Last Update Date: 08/08/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8325211055
  • Enrollment ID: I20180821003363

Medical Identifiers

Medical identifiers for Karen L Summe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336342278NPI-NPPES
0052851MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 4301115468 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Decatur County Memorial HospitalGreensburg, INHospital
Margaret Mary Community Hospital IncBatesville, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension St John Hospital3173424082296
Decatur County Memorial Hospital731583767166

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. Karen L Summe allows following entities to bill medicare on her behalf.
Entity NameAscension St John Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043478910
PECOS PAC ID: 3173424082
Enrollment ID: O20040115000409

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. Karen L Summe 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
Karen L Summe, MD
29000 Little Mack Ave Ste B,
Saint Clair Shores, MI 48081-3018

Ph: (586) 774-8811
Karen L Summe, MD
29000 Little Mack Ave Ste B,
Saint Clair Shores, MI 48081

Ph: (586) 774-8811

Reviews and Comments


Surgery Doctors in Saint Clair Shores, MI

Jimmy Charbel Haouilou, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 29519 Harper Ave, Saint Clair Shores, MI 48081
Phone: 586-270-5100    Fax: 586-270-5111
Dr. Nagalingappa Bhadra Chari, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 29900 Harper Ave, Saint Clair Shores, MI 48082
Phone: 586-294-4440    
Steven R Hendrick, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 25631 Little Mack Ave Lowr Level, Saint Clair Shores, MI 48081
Phone: 586-443-2998    Fax: 586-443-2309
Dr. Mohammed Sahly, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 29000 Little Mack Ave, Saint Clair Shores, MI 48081
Phone: 586-774-8811    
Dr. Arpit Aggarwal, DO
Surgery
Medicare: Medicare Enrolled
Practice Location: 29519 Harper Ave, Saint Clair Shores, MI 48081
Phone: 586-343-8717    Fax: 877-255-4705
Abdelkader Hawasli, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 24911 Little Mack Ave, Ste B, Saint Clair Shores, MI 48080
Phone: 586-774-8811    Fax: 586-774-6773

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.