Dr Summar Reslan, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Detroit, Michigan. Her current practice location is
4646 John R St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 576-1000.
Dr Summar Reslan is licensed to practice in Michigan (license number 6301016062) 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 1831550383.
Healthcare Provider's Profile
| Full Name | Dr Summar Reslan |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 4646 John R St, Detroit, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831550383
- Provider Enumeration Date: 03/11/2016
- Last Update Date: 06/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 5092009985
- Enrollment ID: I20160816002149
Medical Identifiers
Medical identifiers for Dr Summar Reslan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831550383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 6301016062 (Michigan) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 6301016062 (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 Summar Reslan allows following entities to bill medicare on her behalf.
| Entity Name | Vhs Physicians Of Michigan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073827101
PECOS PAC ID: 8921289760
Enrollment ID: O20110225000849 |
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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 Summar Reslan 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 Summar Reslan, PHD
4646 John R St,
Detroit, MI 48201-1916
Ph: () - | Dr Summar Reslan, PHD
4646 John R St,
Detroit, MI 48201-1916
Ph: (313) 576-1000 |
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