Tabetha Kassab, OT is a medicare enrolled "Physician Assistant" provider in West Bloomfield, Michigan. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Summit Psychiatric Services, P.l.c. and her current practice location is
6777 W Maple Rd, West Bloomfield, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 416-4140.
Tabetha Kassab is licensed to practice in Michigan (license number 5601011082) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508444589.
Healthcare Provider's Profile
| Full Name | Tabetha Kassab |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 6777 W Maple Rd, West Bloomfield, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tabetha Kassab graduated from medical school in 2021
NPI Data:
- NPI Number: 1508444589
- Provider Enumeration Date: 03/31/2021
- Last Update Date: 04/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830564178
- Enrollment ID: I20230418002814
Medical Identifiers
Medical identifiers for Tabetha Kassab such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508444589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 5601011082 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Summit Psychiatric Services, P.l.c. | 9234151366 | 7 |
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. Tabetha Kassab 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 |
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Tabetha Kassab, OT
1 Ford Pl Ste 3a,
Detroit, MI 48202-3450
Ph: (313) 874-4806 | Tabetha Kassab, OT
6777 W Maple Rd,
West Bloomfield, MI 48322
Ph: (248) 416-4140 |
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