Mitra Blair Bahaee, MD in Wayne, MI - Medicare Family Medicine

Mitra Blair Bahaee, MD is a medicare enrolled "Family Medicine" physician in Wayne, Michigan. Her current practice location is 33155 Annapolis St, Wayne, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 467-2487.

Mitra Blair Bahaee is licensed to practice in Michigan (license number 4351044605) 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 1407417736.

Contact Information

	Mitra Blair Bahaee, MD
	33155 Annapolis St, Wayne, MI 48184-2405
	(734) 467-2487
	Not Available

Map and Direction

Physician's Profile

Full Name	Mitra Blair Bahaee
Gender	Female
Speciality	Family Medicine
Location	33155 Annapolis St, Wayne, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407417736
Provider Enumeration Date: 06/26/2019
Last Update Date: 09/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4284960790
Enrollment ID: I20220926001847

Medical Identifiers

Medical identifiers for Mitra Blair Bahaee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407417736	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4351044605 (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. Mitra Blair Bahaee allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Mitra Blair Bahaee 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
Mitra Blair Bahaee, MD 33155 Annapolis St, Wayne, MI 48184-2405 Ph: () -	Mitra Blair Bahaee, MD 33155 Annapolis St, Wayne, MI 48184-2405 Ph: (734) 467-2487

Reviews and Comments

Family Medicine Doctors in Wayne, MI

Christopher Lajeunesse, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-2483
Nassrine Naim, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4000
Elizabeth Lewandowski, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4000
Alison Nesbitt, Family Medicine Medicare: Medicare Enrolled Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4000
Tera Melanne Goldmakher, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 33155 Annapolis St, Emergency Dept, Wayne, MI 48184 Phone: 734-467-4042 Fax: 734-467-5500
Mariam Nasrallah, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4000
Houda Zreik, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-2483 Fax: 734-467-2485

Mitra Blair Bahaee, MD - Medicare Family Medicine in Wayne, MI