Mustafa Siddique, in Trenton, MI

Mustafa Siddique, is a medicare enrolled "Surgery - Vascular Surgery" physician in Trenton, Michigan. His current practice location is 5452 Fort St Ste 200, Trenton, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 642-2668.

Mustafa Siddique is licensed to practice in Michigan (license number 4301507567) 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 1487997284.

Contact Information

	Mustafa Siddique,
	5452 Fort St Ste 200, Trenton, MI 48183-4638
	(734) 642-2668
	Not Available

Map and Direction

Physician's Profile

Full Name	Mustafa Siddique
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	5452 Fort St Ste 200, Trenton, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487997284
Provider Enumeration Date: 03/29/2013
Last Update Date: 03/17/2025

Medicare PECOS Information:

PECOS PAC ID: 9335483874
Enrollment ID: I20220817002964

Medical Identifiers

Medical identifiers for Mustafa Siddique such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487997284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	4301507567 (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. Mustafa Siddique allows following entities to bill medicare on his behalf.

Entity Name	Beaumont Medical Group- Specialty Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549

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. Mustafa Siddique 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
Mustafa Siddique, 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () -	Mustafa Siddique, 5452 Fort St Ste 200, Trenton, MI 48183-4638 Ph: (734) 642-2668

Reviews and Comments

Surgery Doctors in Trenton, MI

Dr. Thomas George Gazdecki, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 5400 Fort St Ste 200, Trenton, MI 48183 Phone: 734-676-4996 Fax: 734-676-4407
Dr. Cristen Lyn Laird, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2128 W Jefferson Ave, Trenton, MI 48183 Phone: 734-307-3040 Fax: 734-818-5714
Dr. Breanna Connett, DO Surgery Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297
Dr. Zachary H Lewis, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3231 West Rd, Trenton, MI 48183 Phone: 734-675-6885 Fax: 734-675-6540
Seth William Lambert, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297
Mr. Lloyd J. Beaudry, D.O. Surgery Medicare: May Accept Medicare Assignments Practice Location: 3231 West Rd, Trenton, MI 48183 Phone: 734-692-3500 Fax: 734-692-3039
Dr. John C Baumann, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 3231 West Rd, Trenton, MI 48183 Phone: 734-675-1200 Fax: 734-675-5547

Mustafa Siddique, - Medicare Surgery in Trenton, MI