Mr Elija Kamal Sansom, MPT in Warren, MI - Medicare Physical Therapist Provider

Mr Elija Kamal Sansom, MPT is a medicare enrolled "Physical Therapist" provider in Warren, Michigan. His current practice location is 8381 E 12 Mile Rd, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 698-1999.

Mr Elija Kamal Sansom is licensed to practice in Michigan (license number 5501010471) 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 1073724720.

Contact Information

	Mr Elija Kamal Sansom, MPT
	8381 E 12 Mile Rd, Warren, MI 48093-2769
	(586) 698-1999
	(586) 576-6531

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Elija Kamal Sansom
Gender	Male
Speciality	Physical Therapist
Location	8381 E 12 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: 1073724720
Provider Enumeration Date: 05/24/2007
Last Update Date: 07/11/2023

Medicare PECOS Information:

PECOS PAC ID: 1658682661
Enrollment ID: I20150617002071

Medical Identifiers

Medical identifiers for Mr Elija Kamal Sansom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073724720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501010471 (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. Mr Elija Kamal Sansom allows following entities to bill medicare on his behalf.

Provider Name	Michigan Rehabilitation Specialists Of Fowlerville Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1669531166 PECOS PAC ID: 6204730393 Enrollment ID: O20130927000721

Provider Name	Michigan Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003448994 PECOS PAC ID: 9032549217 Enrollment ID: O20200501000804

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. Mr Elija Kamal Sansom 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
Mr Elija Kamal Sansom, MPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206	Mr Elija Kamal Sansom, MPT 8381 E 12 Mile Rd, Warren, MI 48093-2769 Ph: (586) 698-1999

Reviews and Comments

Physical Therapist in Warren, MI

Mrs. Gillian Deyoung, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3665 E 11 Mile Rd, Suite B, Warren, MI 48092 Phone: 586-755-4711
Benoy Kuriakose, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31830 Ryan Rd, Warren, MI 48092 Phone: 586-977-6700
Ms. Adria M. Podlewski, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 29500 Ryan Rd, Suite A, Warren, MI 48092 Phone: 586-574-2425 Fax: 586-574-2443
Mendelson Kornblum Orthopedic Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13488 E 11 Mile Rd, Warren, MI 48089 Phone: 586-439-6243 Fax: 586-439-6240
Miss Anemaecore Abadejos Brodith, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 26000 Hoover Rd Ste 101, Warren, MI 48089 Phone: 586-381-8141 Fax: 586-393-1733
Alma Jankus, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5123
Mr. Jims Thankachan Varghese, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27301 Schoenherr Rd Ste 103, Warren, MI 48088 Phone: 586-393-5768 Fax: 248-282-8416

Mr Elija Kamal Sansom, MPT - Medicare Physical Therapist in Warren, MI