Wessam Boutros Bou-assaly, in Ann Arbor, MI

Wessam Boutros Bou-assaly, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Ann Arbor, Michigan. His current practice location is 2155 Fuller Rd, Radiology Department/ Va Health Center, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 761-7959.

Wessam Boutros Bou-assaly is licensed to practice in Texas (license number M41968) 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 1851581540.

Contact Information

	Wessam Boutros Bou-assaly,
	2155 Fuller Rd, Radiology Department/ Va Health Center, Ann Arbor, MI 48105
	(734) 761-7959
	Not Available

Map and Direction

Physician's Profile

Full Name	Wessam Boutros Bou-assaly
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	2155 Fuller Rd, Ann Arbor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851581540
Provider Enumeration Date: 07/28/2007
Last Update Date: 10/01/2025

Medicare PECOS Information:

PECOS PAC ID: 2163968116
Enrollment ID: I20240830003737

Medical Identifiers

Medical identifiers for Wessam Boutros Bou-assaly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851581540	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	M41968 (Texas)	Primary
2085N0700X	Radiology - Neuroradiology	4301089243 (Michigan)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	4301089243 (Michigan)	Secondary
174400000X	Specialist	4301089243 (Michigan)	Secondary

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. Wessam Boutros Bou-assaly allows following entities to bill medicare on his behalf.

Entity Name	Commonwealth Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285858290 PECOS PAC ID: 7719075167 Enrollment ID: O20071212000093

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. Wessam Boutros Bou-assaly 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
Wessam Boutros Bou-assaly, 9155 Mirage Lake Dr, Milan, MI 48160-9010 Ph: (317) 828-0810	Wessam Boutros Bou-assaly, 2155 Fuller Rd, Radiology Department/ Va Health Center, Ann Arbor, MI 48105 Ph: (734) 761-7959

Reviews and Comments

Radiology Doctors in Ann Arbor, MI

Patrick Charles Albus, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Dr. Michael James Todd, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Perry G Pernicano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Dr, B1 Floor University Hospital Recp C, Ann Arbor, MI 48109 Phone: 734-936-4566
Ellen G Hoeffner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Dr, B1 Floor University Hospital Recp C, Ann Arbor, MI 48109 Phone: 734-936-4566
Dr. Christopher Robert Nall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Dr. Stephen Michael Ascherl, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2375 Newport Rd, Ann Arbor, MI 48103 Phone: 734-327-0649 Fax: 734-327-0649
Raoul Sanjay Pereira, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, B1 Floor University Hospital Recp C, Ann Arbor, MI 48109 Phone: 734-936-4566

Wessam Boutros Bou-assaly, - Medicare Radiology in Ann Arbor, MI