Kefah Abbas Mazloum, - Medicare Nurse Practitioner in Jackson, MI

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Kefah Abbas Mazloum, is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Michigan. His current practice location is 205 N East Ave, Jackson, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 205-7836.

Kefah Abbas Mazloum is licensed to practice in Michigan (license number 4704341497) 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 1356093553.

Contact Information

Kefah Abbas Mazloum,
205 N East Ave,
Jackson, MI 49201-1753
(517) 205-7836
Not Available

Map and Direction




Provider's Profile

Full NameKefah Abbas Mazloum
GenderMale
SpecialityNurse Practitioner - Family
Location205 N East Ave, Jackson, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356093553
  • Provider Enumeration Date: 01/19/2022
  • Last Update Date: 03/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3072988302
  • Enrollment ID: I20230418002490

Medical Identifiers

Medical identifiers for Kefah Abbas Mazloum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356093553NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704341497 (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. Kefah Abbas Mazloum allows following entities to bill medicare on his behalf.
Entity NameIndependent Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780791343
PECOS PAC ID: 6709798325
Enrollment ID: O20031103000407
Entity NameMymichigan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689623506
PECOS PAC ID: 4981501939
Enrollment ID: O20060727000013
Entity NameVan Buren Urgent Care Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538497250
PECOS PAC ID: 6204960685
Enrollment ID: O20100820000525
Entity NameEmergency Professionals Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952740656
PECOS PAC ID: 3274767371
Enrollment ID: O20131003000093
Entity NameHenry Ford Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184389876
PECOS PAC ID: 6901296110
Enrollment ID: O20211202000908
Entity NameIhp Mi Emergency Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861147456
PECOS PAC ID: 2365821634
Enrollment ID: O20220616000277
Entity NameAllen Park Medical Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992527493
PECOS PAC ID: 5395279681
Enrollment ID: O20241108002257

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. Kefah Abbas Mazloum 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
Kefah Abbas Mazloum,
1 Ford Pl Ste 3a,
Detroit, MI 48202-3450

Ph: () -		Kefah Abbas Mazloum,
205 N East Ave,
Jackson, MI 49201-1753

Ph: (517) 205-7836

Reviews and Comments


Nurse Practitioner Nurses in Jackson, MI

Kassidy Jo Treacey,
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Practice Location: 505 N Jackson St, Jackson, MI 49201
Phone: 517-748-5500    
Deanna Marie Tregoning, ARNP
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Practice Location: 309 Page Ave, Jackson, MI 49201
Phone: 517-787-1234    
Chelsea Marie Schaefer, FNP-BC
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Practice Location: 1201 E Michigan Ave Ste 300, Jackson, MI 49201
Phone: 517-205-2143    
Sarah Kay Kilponen, NP
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Medicare: Medicare Enrolled
Practice Location: 700 E Michigan Ave, Jackson, MI 49201
Phone: 517-205-8930    
Kamelia Reinhart,
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Medicare: Medicare Enrolled
Practice Location: 1201 E Michigan Ave Ste 240, Jackson, MI 49201
Phone: 517-205-1591    
Lauren Audrey Nemer,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 505 N Jackson St Fl 1, Jackson, MI 49201
Phone: 262-312-4593    
Ms. Carol Ann Carney, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 142 N Mechanic St, Jackson, MI 49201
Phone: 517-879-1007    Fax: 888-828-8679

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.