| Dr Samer Mossallam, DO | |
|
1046 N Monroe St, Monroe, MI 48162-3113 | |
| (734) 457-9034 | |
| (734) 457-9037 |
| Full Name | Dr Samer Mossallam |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 30 Years |
| Location | 1046 N Monroe St, Monroe, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578545638 | NPI | - | NPPES |
| 03570 | Other | MI | PARAMOUNT |
| 1655800434 | Other | MI | BLUE CROSS BLUE SHIELD |
| P00210239 | Other | MI | RAILROAD MEDICARE |
| 114734032 | Medicaid | MI | |
| 7112004 | Other | MI | AETNA |
| 05500 | Other | MI | HEALTHPLAN OF MICHIGAN |
| 1655800434 | Other | MI | BLUE CARE NETWORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 5101012934 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Monroe Regional Hospital | Monroe, MI | Hospital |
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associates In Womens Health | 6800872748 | 2 |
| Entity Name | Ascension Medical Group Promed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
| Entity Name | Associates In Womens Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689891970 PECOS PAC ID: 6800872748 Enrollment ID: O20040629001435 |
| Entity Name | Mercy Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811097223 PECOS PAC ID: 7012811615 Enrollment ID: O20061212000299 |
| Entity Name | Mclaren Flint |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275807372 PECOS PAC ID: 8628975497 Enrollment ID: O20120620000454 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samer Mossallam, DO 1046 N Monroe St, Monroe, MI 48162-3113 Ph: (734) 457-9034 | Dr Samer Mossallam, DO 1046 N Monroe St, Monroe, MI 48162-3113 Ph: (734) 457-9034 |
Kristi Kostoff, WHNP-BC Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1046 N Monroe St, Monroe, MI 48162 Phone: 734-457-9034 Fax: 734-457-4030 | |
Mrs. Natasha Ann Welker, CNM Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1046 N Monroe St, Monroe, MI 48162 Phone: 734-457-9034 Fax: 734-457-4030 | |
Soudabeh Ahadi, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 55 Cole Rd, Monroe, MI 48162 Phone: 734-242-2022 Fax: 734-242-2251 | |
Dr. Martin Sasan Pakideh, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 55 Cole Rd, Monroe, MI 48162 Phone: 734-242-2022 Fax: 734-242-2251 | |
Alisha M Marchand, CNM Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1046 N Monroe St, Monroe, MI 48162 Phone: 734-457-9034 Fax: 734-457-4030 | |
Mr. Kianoush Khaghany, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1046 N Monroe St, Monroe, MI 48162 Phone: 734-457-9034 Fax: 734-457-9037 |