Dr Souha S Hakim, MD - Medicare Pediatrics in Jackson, MI

Dr Souha S Hakim, MD is a medicare enrolled "Pediatrics" physician in Jackson, Michigan. Her current practice location is 1418 E Michigan Ave, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 783-1779.

Dr Souha S Hakim is licensed to practice in Michigan (license number 4301068721) 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 1699798249.

Contact Information

Dr Souha S Hakim, MD
1418 E Michigan Ave,
Jackson, MI 49202-3518
(517) 783-1779
(517) 783-1899



Physician's Profile

Full NameDr Souha S Hakim
GenderFemale
SpecialityPediatrics
Location1418 E Michigan Ave, Jackson, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699798249
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 01/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2769588110
  • Enrollment ID: I20200408002857

Medical Identifiers

Medical identifiers for Dr Souha S Hakim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699798249NPI-NPPES
03810061OtherMIBLUE CROSS BLUE SHIELD
03810061OtherMIBLUE CARE NETWORK
1044997-10MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine 4301068721 (Michigan)Secondary
208000000XPediatrics 4301068721 (Michigan)Primary

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 Souha S Hakim 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 AddressPractice Location Address
Dr Souha S Hakim, MD
1418 E Michigan Ave,
Jackson, MI 49202-3518

Ph: (517) 783-1779
Dr Souha S Hakim, MD
1418 E Michigan Ave,
Jackson, MI 49202-3518

Ph: (517) 783-1779

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› Verified 2 days ago


Pediatrics Doctors in Jackson, MI

Dr. Muna Balkash, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4645 Eagle Dr, Jackson, MI 49201
Phone: 517-783-5508    Fax: 517-783-5508
Hinna Singh,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 505 N Jackson St, Jackson, MI 49201
Phone: 517-748-5500    
Dr. John S Schuster, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 760 W Franklin St, Jackson, MI 49201
Phone: 517-205-2700    Fax: 517-205-2720
Jolene Ellis, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 760 W Franklin St, Jackson, MI 49201
Phone: 517-780-9260    Fax: 517-780-9263
Daniel Robert Fermaglich, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 110 N Elm Ave, Jackson, MI 49202
Phone: 517-788-6760    Fax: 517-788-3029
Dr. Vivien Phung, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-205-4800    
Dr. Miraflor Reyes, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 505 N Jackson St, Jackson, MI 49201
Phone: 517-748-5500    Fax: 517-780-9286

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