Dr Sura Hassan, OD - Medicare Optometrist in Detroit, MI

Dr Sura Hassan, OD is a medicare enrolled "Optometrist" provider in Detroit, Michigan. Her current practice location is 4717 St. Antoine, Kresge Eye Institute, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 577-8900.

Dr Sura Hassan is licensed to practice in Michigan (license number 4901004721) 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 1043566318.

Contact Information

Dr Sura Hassan, OD
4717 St. Antoine, Kresge Eye Institute,
Detroit, MI 48201-1423
(313) 577-8900
(313) 577-0700



Healthcare Provider's Profile

Full NameDr Sura Hassan
GenderFemale
SpecialityOptometrist
Location4717 St. Antoine, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043566318
  • Provider Enumeration Date: 07/24/2012
  • Last Update Date: 11/25/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8325296064
  • Enrollment ID: I20161222001583

Medical Identifiers

Medical identifiers for Dr Sura Hassan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043566318NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901004721 (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 Sura Hassan allows following entities to bill medicare on her behalf.
Provider NameKim Khanh Nguyen Od Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1629470950
PECOS PAC ID: 9830412923
Enrollment ID: O20141222000643

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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 Sura Hassan 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 Sura Hassan, OD
1560 E Maple Rd, Suite 400-credentialing,
Troy, MI 48083-1138

Ph: (248) 581-5976
Dr Sura Hassan, OD
4717 St. Antoine, Kresge Eye Institute,
Detroit, MI 48201-1423

Ph: (313) 577-8900

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Optometrist in Detroit, MI

Dr. Robert Fredrick Lee Iii, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 15157 Gratiot Ave, Detroit, MI 48205
Phone: 313-526-7664    Fax: 313-526-2055
Dr. Richard Edwin Gay, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 19173 Mack Ave, Detroit, MI 48230
Phone: 313-882-7883    Fax: 313-882-5128
Heritage Optical Inc.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2678 E Jefferson Ave, Detroit, MI 48207
Phone: 313-259-6006    
Dr. Linda Le,
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Medicare: Not Enrolled in Medicare
Practice Location: 1301 Orleans St Apt 1705, Detroit, MI 48207
Phone: 248-759-9202    
Wayne State University Physician Group
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4717 Saint Antoine St, Detroit, MI 48201
Phone: 313-577-8900    Fax: 313-577-0700
Heritage Optical Center, Inc.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 19010 Livernois Ave, Detroit, MI 48221
Phone: 313-863-9581    

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