Dr Sura Hassan, OD in Detroit, MI - Medicare Optometrist Provider

Dr Sura Hassan, OD is a medicare enrolled "Optometrist" provider in Detroit, Michigan. Her current practice location is 4717 St. Antoine, Kresge Eye Institute, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 577-8900.

Dr Sura Hassan is licensed to practice in Michigan (license number 4901004721) 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 1043566318.

Contact Information

	Dr Sura Hassan, OD
	4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201-1423
	(313) 577-8900
	(313) 577-0700

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sura Hassan
Gender	Female
Speciality	Optometrist
Location	4717 St. Antoine, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043566318
Provider Enumeration Date: 07/24/2012
Last Update Date: 11/25/2015

Medicare PECOS Information:

PECOS PAC ID: 8325296064
Enrollment ID: I20161222001583

Medical Identifiers

Medical identifiers for Dr Sura Hassan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043566318	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4901004721 (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. Dr Sura Hassan allows following entities to bill medicare on her behalf.

Provider Name	Kim Khanh Nguyen Od Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1629470950 PECOS PAC ID: 9830412923 Enrollment ID: O20141222000643

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. Dr Sura Hassan 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
Dr Sura Hassan, OD 1560 E Maple Rd, Suite 400-credentialing, Troy, MI 48083-1138 Ph: (248) 581-5976	Dr Sura Hassan, OD 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201-1423 Ph: (313) 577-8900

Reviews and Comments

Optometrist in Detroit, MI

Dr. Robert Fredrick Lee Iii, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 15157 Gratiot Ave, Detroit, MI 48205 Phone: 313-526-7664 Fax: 313-526-2055
Dr. Richard Edwin Gay, OD Optometrist Medicare: Medicare Enrolled Practice Location: 19173 Mack Ave, Detroit, MI 48230 Phone: 313-882-7883 Fax: 313-882-5128
Heritage Optical Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2678 E Jefferson Ave, Detroit, MI 48207 Phone: 313-259-6006
Dr. Linda Le, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1301 Orleans St Apt 1705, Detroit, MI 48207 Phone: 248-759-9202
University Physician Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4717 Saint Antoine St, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700
Heritage Optical Center, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19010 Livernois Ave, Detroit, MI 48221 Phone: 313-863-9581

Dr Sura Hassan, OD - Medicare Optometrist in Detroit, MI