Dr Michael Gabriel Azzam, MD - Medicare Orthopedic Surgery in Prairie Village, KS

Dr Michael Gabriel Azzam, MD is a medicare enrolled "Orthopaedic Surgery" physician in Prairie Village, Kansas. He went to Saint Louis University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Orthopedic Surgery. His current practice location is 5200 W 94th Ter Ste 113, Prairie Village, Kansas. You can reach out to his office (for appointments etc.) via phone at (913) 906-8640.

Dr Michael Gabriel Azzam is licensed to practice in Kansas (license number 04-41486) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215258736.

Contact Information

Dr Michael Gabriel Azzam, MD
5200 W 94th Ter Ste 113,
Prairie Village, KS 66207-2522
(913) 906-8640
(913) 906-8682



Physician's Profile

Full NameDr Michael Gabriel Azzam
GenderMale
SpecialityOrthopedic Surgery
Experience14 Years
Location5200 W 94th Ter Ste 113, Prairie Village, Kansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael Gabriel Azzam attended and graduated from Saint Louis University School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1215258736
  • Provider Enumeration Date: 06/18/2010
  • Last Update Date: 06/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1557507597
  • Enrollment ID: I20181120002506

Medical Identifiers

Medical identifiers for Dr Michael Gabriel Azzam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215258736NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 2016016714 (Missouri)Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine 04-41486 (Kansas)Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine 2016016714 (Missouri)Secondary
207X00000XOrthopaedic Surgery 04-41486 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Menorah Medical CenterOverland park, KSHospital

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 Michael Gabriel Azzam allows following entities to bill medicare on his behalf.
Entity NameImpact Orthopedics & Sports Medicine, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023697406
PECOS PAC ID: 6204244155
Enrollment ID: O20210414002287

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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 Michael Gabriel Azzam 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 Michael Gabriel Azzam, MD
5200 W 94th Ter Ste 113,
Prairie Village, KS 66207-2522

Ph: (913) 906-8640
Dr Michael Gabriel Azzam, MD
5200 W 94th Ter Ste 113,
Prairie Village, KS 66207-2522

Ph: (913) 906-8640

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Orthopaedic Surgery Doctors in Prairie Village, KS


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