Hisham I Ahmed Md Pllc - Medicare Primary Care in Lapeer, MI

Hisham I Ahmed Md Pllc is a medicare enrolled primary clinic (Internal Medicine) in Lapeer, Michigan. The current practice location for Hisham I Ahmed Md Pllc is 1457 Suncrest Dr, Lapeer, Michigan. For appointments, you can reach them via phone at (810) 348-7178. The mailing address for Hisham I Ahmed Md Pllc is 8035 Woodstone Dr, Grand Blanc, Michigan and phone number is (810) 348-7178.

Hisham I Ahmed Md Pllc is licensed to practice in Michigan (license number 4301076402). The clinic also participates in the medicare program and its NPI number is 1033445143. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (810) 348-7178.

Contact Information

Hisham I Ahmed Md Pllc
1457 Suncrest Dr
Lapeer
MI 48446-1151
(810) 348-7178
Not Available

Primary Care Clinic Profile

Full NameHisham I Ahmed Md Pllc
SpecialityInternal Medicine
Location1457 Suncrest Dr, Lapeer, Michigan
Authorized Official Name and PositionHisham I Ahmed (OWNER)
Authorized Official Contact8103487178
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hisham I Ahmed Md Pllc
8035 Woodstone Dr
Grand Blanc
MI 48439-7096

Ph: (810) 348-7178
Hisham I Ahmed Md Pllc
1457 Suncrest Dr
Lapeer
MI 48446-1151

Ph: (810) 348-7178

NPI Details:

NPI Number1033445143
Provider Enumeration Date10/23/2009
Last Update Date10/23/2009

Medicare PECOS Information:

Medicare PECOS PAC ID6204974991
Medicare Enrollment IDO20091118000236

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Medical Identifiers

Medical identifiers for Hisham I Ahmed Md Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033445143NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301076402 (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. Hisham I Ahmed Md Pllc acts as a billing entity for following providers:
Provider NameHisham Ibrehim Ahmed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568486413
PECOS PAC ID: 2264491026
Enrollment ID: I20041007000129

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Provider NameRevark D Kammo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326335241
PECOS PAC ID: 1456577428
Enrollment ID: I20140728001952

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Internal Medicine in Lapeer, MI

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