Mohamed Jamal, FNP-BC - Medicare Nurse Practitioner in Canton, MI

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Mohamed Jamal, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Canton, Michigan. His current practice location is 48485 River Way Dr, Canton, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 588-9002.

Mohamed Jamal is licensed to practice in Michigan (license number 4704315064) 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 1548875081.

Contact Information

Mohamed Jamal, FNP-BC
48485 River Way Dr,
Canton, MI 48187-5622
(313) 588-9002
Not Available

Map and Direction




Provider's Profile

Full NameMohamed Jamal
GenderMale
SpecialityNurse Practitioner - Family
Location48485 River Way Dr, Canton, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548875081
  • Provider Enumeration Date: 09/11/2020
  • Last Update Date: 09/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2769893932
  • Enrollment ID: I20201118002383

Medical Identifiers

Medical identifiers for Mohamed Jamal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548875081NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704315064 (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. Mohamed Jamal allows following entities to bill medicare on his behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104900455
PECOS PAC ID: 0547178311
Enrollment ID: O20031210000341
Entity NameW.a. Foote Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629000708
PECOS PAC ID: 0244136067
Enrollment ID: O20040612000395
Entity NameIndependent Observation Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700119500
PECOS PAC ID: 3577603604
Enrollment ID: O20091221000327
Entity NameIndependent Hospitalist Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851820641
PECOS PAC ID: 3971874090
Enrollment ID: O20170808003906
Entity NameIep Observation Medicine - Jackson Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982478251
PECOS PAC ID: 6800234592
Enrollment ID: O20240401000555
Entity NameIhp Hospital Medicine - Jackson Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275306078
PECOS PAC ID: 3173961372
Enrollment ID: O20240408001574

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. Mohamed Jamal 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
Mohamed Jamal, FNP-BC
48485 River Way Dr,
Canton, MI 48187-5622

Ph: (313) 588-9002		Mohamed Jamal, FNP-BC
48485 River Way Dr,
Canton, MI 48187-5622

Ph: (313) 588-9002

Reviews and Comments


Nurse Practitioner Nurses in Canton, MI

Lucinda Pryor,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1161 Stacy Dr, Canton, MI 48188
Phone: 313-740-5358    
Iqbal Mahal,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 46837 Wareham, Canton, MI 48187
Phone: 734-358-4785    
Wendy Storey, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187
Phone: 734-398-7899    Fax: 734-398-7895
Molly Mcintyre, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187
Phone: 734-398-7899    Fax: 734-398-7895
Patricia Reckling, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187
Phone: 734-398-7899    Fax: 734-398-7895
Jaclyn Riley,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2050 N Haggerty Rd Ste 200, Canton, MI 48187
Phone: 313-550-3353    
Jennifer Martz,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6300 N Haggerty Rd, Suite Number 210, Canton, MI 48187
Phone: 734-641-3000    

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.