Mark J Ziadeh, MD is a medicare enrolled "Electrodiagnostic Medicine" physician in Farmington Hills, Michigan. His current practice location is
23332 Farmington Road, #1120, Farmington Hills, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 478-5645.
Mark J Ziadeh is licensed to practice in Michigan (license number 4301059318) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649352543.
Physician's Profile
| Full Name | Mark J Ziadeh |
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| Gender | Male |
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| Speciality | Electrodiagnostic Medicine |
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| Location | 23332 Farmington Road, Farmington Hills, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649352543
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 05/26/2017
Medicare PECOS Information:
- PECOS PAC ID: 2264576990
- Enrollment ID: I20100219000081
Medical Identifiers
Medical identifiers for Mark J Ziadeh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649352543 | NPI | - | NPPES |
| 4472761 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | 4301059318 (Michigan) | Secondary |
| 204R00000X | Electrodiagnostic Medicine | 4301059318 (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. Mark J Ziadeh allows following entities to bill medicare on his behalf.
| Entity Name | Michigan Sports And Spine Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205887262 PECOS PAC ID: 0749243467 Enrollment ID: O20041104000371 |
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| Entity Name | Total Extended Care Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699522029 PECOS PAC ID: 9133029127 Enrollment ID: O20240712000167 |
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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. Mark J Ziadeh 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 |
Mark J Ziadeh, MD Po Box 1120, Farmington Hills, MI 48332-1120 Ph: () - | Mark J Ziadeh, MD 23332 Farmington Road, #1120, Farmington Hills, MI 48332 Ph: (248) 478-5645 |
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