Mouna Bazzi, NURSE PRACTITIONER in Dearborn, MI

Mouna Bazzi, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Acute Care" in Dearborn, Michigan. Her current practice location is 4700 Schaefer Rd Ste 260, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (947) 523-4650.

Mouna Bazzi is licensed to practice in Michigan (license number 4704327655) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073225678.

Contact Information

	Mouna Bazzi, NURSE PRACTITIONER
	4700 Schaefer Rd Ste 260, Dearborn, MI 48126-3743
	(947) 523-4650
	Not Available

Map and Direction

Provider's Profile

Full Name	Mouna Bazzi
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	4700 Schaefer Rd Ste 260, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073225678
Provider Enumeration Date: 12/15/2022
Last Update Date: 10/21/2025

Medicare PECOS Information:

PECOS PAC ID: 7416327150
Enrollment ID: I20221221002116

Medical Identifiers

Medical identifiers for Mouna Bazzi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073225678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704327655 (Michigan)	Primary
363L00000X	Nurse Practitioner	4704327655 (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. Mouna Bazzi allows following entities to bill medicare on her behalf.

Entity Name	University Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518

Entity Name	Michigan Healthcare Professionals Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027

Entity Name	A Ahmad Md Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306313515 PECOS PAC ID: 9931444783 Enrollment ID: O20181222000299

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. Mouna Bazzi 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
Mouna Bazzi, NURSE PRACTITIONER 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () -	Mouna Bazzi, NURSE PRACTITIONER 4700 Schaefer Rd Ste 260, Dearborn, MI 48126-3743 Ph: (947) 523-4650

Reviews and Comments

Nurse Practitioner Nurses in Dearborn, MI

Robin Wawersik, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 207, Dearborn, MI 48124 Phone: 313-271-5565 Fax: 313-271-1053
Malak Elsabbagh, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4700 Greenfield Rd Ste 2e, Dearborn, MI 48126 Phone: 313-740-1111
Sarah Naji-nehme, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7863 W Morrow Cir, Dearborn, MI 48126 Phone: 313-445-5271
Rana Mazraani, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15400 Michigan Ave, Dearborn, MI 48126 Phone: 313-584-3359
Dr. Fatmeh M Barada, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080
Ibtihal Alghanimi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080
Katherine Anne Repp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 410, Dearborn, MI 48124 Phone: 313-982-5430

Mouna Bazzi, NURSE PRACTITIONER - Medicare Nurse Practitioner in Dearborn, MI