Dr Michael Gabriel Azzam, MD is a medicare enrolled "Orthopaedic Surgery" physician in Prairie Village, Kansas. He went to Saint Louis University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Orthopedic Surgery. His current practice location is
5200 W 94th Ter Ste 113, Prairie Village, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 906-8640.
Dr Michael Gabriel Azzam is licensed to practice in Kansas (license number 04-41486) 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 1215258736.
Physician's Profile
Full Name | Dr Michael Gabriel Azzam |
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Gender | Male |
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Speciality | Orthopedic Surgery |
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Experience | 14 Years |
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Location | 5200 W 94th Ter Ste 113, Prairie Village, Kansas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Michael Gabriel Azzam attended and graduated from Saint Louis University School Of Medicine in 2010
NPI Data:
- NPI Number: 1215258736
- Provider Enumeration Date: 06/18/2010
- Last Update Date: 06/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 1557507597
- Enrollment ID: I20181120002506
Medical Identifiers
Medical identifiers for Dr Michael Gabriel Azzam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215258736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 2016016714 (Missouri) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 04-41486 (Kansas) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 2016016714 (Missouri) | Secondary |
207X00000X | Orthopaedic Surgery | 04-41486 (Kansas) | Primary |
Medical Facilities Affiliation
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. Dr Michael Gabriel Azzam allows following entities to bill medicare on his behalf.
Entity Name | Impact Orthopedics & Sports Medicine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023697406 PECOS PAC ID: 6204244155 Enrollment ID: O20210414002287 |
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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. Dr Michael Gabriel Azzam 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 |
Dr Michael Gabriel Azzam, MD 5200 W 94th Ter Ste 113, Prairie Village, KS 66207-2522 Ph: (913) 906-8640 | Dr Michael Gabriel Azzam, MD 5200 W 94th Ter Ste 113, Prairie Village, KS 66207-2522 Ph: (913) 906-8640 |
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