Samer Shaja, DO - Medicare Family Medicine in Southfield, MI

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Samer Shaja, DO is a medicare enrolled "Family Medicine" physician in Southfield, Michigan. His current practice location is 21816 W 11 Mile Rd, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 375-4040.

Samer Shaja is licensed to practice in Michigan (license number 5101022304) 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 1760831648.

Contact Information

Samer Shaja, DO
21816 W 11 Mile Rd,
Southfield, MI 48076-3724
(248) 375-4040
(248) 375-4044

Map and Direction




Physician's Profile

Full NameSamer Shaja
GenderMale
SpecialityFamily Medicine
Location21816 W 11 Mile Rd, Southfield, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760831648
  • Provider Enumeration Date: 06/10/2016
  • Last Update Date: 11/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840523544
  • Enrollment ID: I20190904001269

Medical Identifiers

Medical identifiers for Samer Shaja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760831648NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036150574 (Illinois)Secondary
207Q00000XFamily Medicine 5101022304 (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. Samer Shaja allows following entities to bill medicare on his behalf.
Entity NamePmr Illinois Holding Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770038671
PECOS PAC ID: 2062804909
Enrollment ID: O20220126001647

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. Samer Shaja 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 AddressPractice Location Address
Samer Shaja, DO
21816 W 11 Mile Rd,
Southfield, MI 48076-3724

Ph: (248) 375-4040		Samer Shaja, DO
21816 W 11 Mile Rd,
Southfield, MI 48076-3724

Ph: (248) 375-4040

Reviews and Comments


Family Medicine Doctors in Southfield, MI

Dr. Vikash Patel, MD
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Medicare: Medicare Enrolled
Practice Location: 22250 Providence Dr Ste 557, Southfield, MI 48075
Phone: 248-849-3447    Fax: 248-849-8021
Braswell Drue Deen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22250 Providence Dr, 5th Floor.fl 5, Southfield, MI 48075
Phone: 248-849-3441    Fax: 248-849-5389
Katherine Cybinski, D.O.
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Practice Location: 22250 Providence Dr, Suite 500, Southfield, MI 48075
Phone: 248-849-3441    
Naushin Hossain, M.D
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Medicare: Accepting Medicare Assignments
Practice Location: 22250 Providence Dr, Suite 500, Southfield, MI 48075
Phone: 248-849-3441    
Matthew W Reeves, NP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 17320 W 12 Mile Rd Ste 101, Southfield, MI 48076
Phone: 248-727-3456    Fax: 248-557-4697
Dr. Imo Patricia Udo-inyang, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 16250 Northland Dr Ste 207, Southfield, MI 48075
Phone: 313-543-3100    
Dr. Cheryl Lee Smith, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22250 Providence Dr, Suite 500, Southfield, MI 48075
Phone: 248-849-3441    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.