| Dr Sam Hakki Hackette, MD | |
|
27789 Mound Rd Ste 100, Warren, MI 48092-2697 | |
| (313) 209-3353 | |
| (313) 406-7255 |
| Full Name | Dr Sam Hakki Hackette |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery |
| Location | 27789 Mound Rd Ste 100, Warren, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043253602 | NPI | - | NPPES |
| MI7592002 | Other | MI | MEDICARE IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 4301104354 (Michigan) | Primary |
| Entity Name | Computerized Joint Surgeryllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841685195 PECOS PAC ID: 8820300320 Enrollment ID: O20150710001692 |
| Entity Name | Mini Invasive Orthopedics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467803296 PECOS PAC ID: 9739519687 Enrollment ID: O20200417000639 |
| Entity Name | Md Spine And Health Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659885200 PECOS PAC ID: 5092126714 Enrollment ID: O20201201000993 |
| Entity Name | Radiology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528513199 PECOS PAC ID: 2062826662 Enrollment ID: O20210121002623 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sam Hakki Hackette, MD Po Box 880, Sterling Hts, MI 48311-0880 Ph: () - | Dr Sam Hakki Hackette, MD 27789 Mound Rd Ste 100, Warren, MI 48092-2697 Ph: (313) 209-3353 |
Daniel B Hoard, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 28001 Schoenherr Rd, Suite 3, Warren, MI 48088 Phone: 586-558-9500 Fax: 586-558-9501 | |
Dr. Julie L Henry-kelly, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 27427 Schoenherr Rd, Suite 200, Warren, MI 48088 Phone: 586-754-4417 Fax: 586-754-4473 | |
John B Ryan, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11012 E 13 Mile Rd Ste 201, Warren, MI 48093 Phone: 586-582-0864 Fax: 586-582-0964 | |
Dr. Mark Thomas Ryan, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 25625 Schoenherr Rd, Warren, MI 48089 Phone: 586-759-4700 Fax: 586-759-1504 | |
Jared Lutsic, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 12000 E 12 Mile Rd, Warren, MI 48093 Phone: 586-759-7300 | |
David H Mendelson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093 Phone: 586-582-7070 Fax: 586-582-7066 |