Residential Professional Wound Care Specialists Pllc - Medicare Primary Care in Eastpointe, MI

Residential Professional Wound Care Specialists Pllc is a medicare enrolled primary clinic (Internal Medicine) in Eastpointe, Michigan. The current practice location for Residential Professional Wound Care Specialists Pllc is 20927 Kelly Rd Ste 1, Eastpointe, Michigan. For appointments, you can reach them via phone at (313) 733-8286. The mailing address for Residential Professional Wound Care Specialists Pllc is 3611 Carpenter St Ste 5, Detroit, Michigan and phone number is (313) 733-8286.

Residential Professional Wound Care Specialists Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1144971482. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (313) 733-8286.

Contact Information

Residential Professional Wound Care Specialists Pllc
20927 Kelly Rd Ste 1
Eastpointe
MI 48021-3128
(313) 733-8286
(313) 826-0899

Map and Direction


Primary Care Clinic Profile

Full NameResidential Professional Wound Care Specialists Pllc
SpecialityInternal Medicine
Location20927 Kelly Rd Ste 1, Eastpointe, Michigan
Authorized Official Name and PositionRibhi Hazin (OWNER)
Authorized Official Contact3137338286
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Residential Professional Wound Care Specialists Pllc
3611 Carpenter St Ste 5
Detroit
MI 48212-2784

Ph: (313) 733-8286
Residential Professional Wound Care Specialists Pllc
20927 Kelly Rd Ste 1
Eastpointe
MI 48021-3128

Ph: (313) 733-8286

NPI Details:

NPI Number1144971482
Provider Enumeration Date01/18/2022
Last Update Date02/09/2022

Medicare PECOS Information:

Medicare PECOS PAC ID8224421227
Medicare Enrollment IDO20220216000964

Medical Identifiers

Medical identifiers for Residential Professional Wound Care Specialists Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144971482NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
213ES0131XPodiatrist - Foot Surgery (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Residential Professional Wound Care Specialists Pllc acts as a billing entity for following providers:
Provider NameJoseph S Salerno
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1750335451
PECOS PAC ID: 5496793267
Enrollment ID: I20050421000924
Provider NameEdwin J Soler-valcourt
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1326028135
PECOS PAC ID: 6901893080
Enrollment ID: I20100224000353
Provider NameRibhi Hazin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265747463
PECOS PAC ID: 6901038140
Enrollment ID: I20140422001446
Provider NameKelly M Stovall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578985875
PECOS PAC ID: 9830322676
Enrollment ID: I20140502000379
Provider NameSoua Kue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548705783
PECOS PAC ID: 0941583629
Enrollment ID: I20170202001609
Provider NameDorothy A Owino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659811305
PECOS PAC ID: 5496029217
Enrollment ID: I20170918002362
Provider NameChinyere Mercy Mbamah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851855845
PECOS PAC ID: 7012258585
Enrollment ID: I20190410000646
Provider NameMajd Kattan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457919532
PECOS PAC ID: 1153657531
Enrollment ID: I20220621001669
Provider NameMirsida Zholi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467904367
PECOS PAC ID: 1658747712
Enrollment ID: I20221014002487

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.