Mariam Nasrallah, MD - Medicare Family Medicine in Wayne, MI

Mariam Nasrallah, MD is a medicare enrolled "Family Medicine" physician in Wayne, Michigan. Her current practice location is 33155 Annapolis St, Wayne, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 467-4000.

Mariam Nasrallah is licensed to practice in Michigan (license number 4351047908) 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 1043887532.

Contact Information

Mariam Nasrallah, MD
33155 Annapolis St,
Wayne, MI 48184-2405
(734) 467-4000
Not Available



Physician's Profile

Full NameMariam Nasrallah
GenderFemale
SpecialityFamily Medicine
Location33155 Annapolis St, Wayne, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043887532
  • Provider Enumeration Date: 06/04/2021
  • Last Update Date: 06/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5799185997
  • Enrollment ID: I20210609002293

Medical Identifiers

Medical identifiers for Mariam Nasrallah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043887532NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4351047908 (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. Mariam Nasrallah 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
Mariam Nasrallah, MD
33155 Annapolis St,
Wayne, MI 48184-2405

Ph: () -
Mariam Nasrallah, MD
33155 Annapolis St,
Wayne, MI 48184-2405

Ph: (734) 467-4000

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Family Medicine Doctors in Wayne, MI

Christopher Lajeunesse, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 33155 Annapolis St, Wayne, MI 48184
Phone: 734-467-2483    
Nassrine Naim, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 33155 Annapolis St, Wayne, MI 48184
Phone: 734-467-4000    
Elizabeth Lewandowski,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 33155 Annapolis St, Wayne, MI 48184
Phone: 734-467-4000    
Alison Nesbitt,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 33155 Annapolis St, Wayne, MI 48184
Phone: 734-467-4000    
Tera Melanne Goldmakher, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 33155 Annapolis St, Emergency Dept, Wayne, MI 48184
Phone: 734-467-4042    Fax: 734-467-5500
Houda Zreik, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 33155 Annapolis St, Wayne, MI 48184
Phone: 734-467-2483    Fax: 734-467-2485

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