Soodad Rabban, FNP in Warren, MI - Medicare Nurse Practitioner

Soodad Rabban, FNP is a medicare enrolled "Nurse Practitioner - Family" in Warren, Michigan. Her current practice location is 4600 E 14 Mile Rd, Suite 1, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 274-3400.

Soodad Rabban is licensed to practice in Michigan (license number 4704248759) 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 1710348503.

Contact Information

	Soodad Rabban, FNP
	4600 E 14 Mile Rd, Suite 1, Warren, MI 48092-4369
	(586) 274-3400
	(586) 274-3411

Map and Direction

Provider's Profile

Full Name	Soodad Rabban
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4600 E 14 Mile Rd, Warren, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710348503
Provider Enumeration Date: 03/08/2016
Last Update Date: 02/14/2017

Medicare PECOS Information:

PECOS PAC ID: 0840577268
Enrollment ID: I20170511001691

Medical Identifiers

Medical identifiers for Soodad Rabban such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710348503	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704248759 (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. Soodad Rabban allows following entities to bill medicare on her behalf.

Entity Name	Forum Medical Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992734578 PECOS PAC ID: 5991723876 Enrollment ID: O20051109000558

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. Soodad Rabban 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
Soodad Rabban, FNP 46156 Woodward Ave, Suite 1, Pontiac, MI 48342-5033 Ph: (248) 322-6747	Soodad Rabban, FNP 4600 E 14 Mile Rd, Suite 1, Warren, MI 48092-4369 Ph: (586) 274-3400

Reviews and Comments

Nurse Practitioner Nurses in Warren, MI

Sharice Ratia Jhons, MSN, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27500 Dequindre Rd, Warren, MI 48092 Phone: 586-764-3465
Rowena Callo Teodoro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27560 Hoover Rd., Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400
Mrs. Lauren Ashley Zipay, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000
Olga Dmitryuk, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11480 E 13 Mile Rd, Warren, MI 48093 Phone: 586-216-9253
Alexander Cole-selvaggio, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27101 Schoenherr Rd, Warren, MI 48088 Phone: 586-758-5800 Fax: 586-758-5841
Jenny Dessinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27560 Hoover Rd, Warren, MI 48093 Phone: 586-757-6400
Randon Carl Jenkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091 Phone: 313-416-6262

Soodad Rabban, FNP - Medicare Nurse Practitioner in Warren, MI