DR. SAM HAKKI HACKETTE MD - NPI 1043253602 - Orthopaedic Surgery in Warren, MI

Q: What is Sam Hakki Hackette's NPI number?

The NPI number for Sam Hakki Hackette is 1043253602. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Sam Hakki Hackette's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

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About Dr. Sam Hakki Hackette Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAM HAKKI HACKETTE MD (NPI 1043253602) is an individual adult reconstructive orthopaedic surgery provider in Warren, Michigan, licensed in Michigan (4301104354) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043253602

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameDR. SAM HAKKI HACKETTECredential: MD

Location Address27789 MOUND RD STE 100Warren, MI 48092-2697

Mailing AddressPo Box 880Sterling Hts, MI 48311-0880

Phone(313) 209-3353

Fax(313) 406-7255

Sole ProprietorYes

Enumeration DateJune 13, 2006

Last NPPES UpdateApril 30, 20215 updates tracked since enumeration

NPPES CertifiedApril 30, 2021

✔ NPI 1043253602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in MI · 4301104354

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

27789 MOUND RD STE 100, Warren, MI 48092

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Other Names 1

Other Name (5)Prof. Sam Hakki Md

Other Identifiers 1

OtherMI7592002MI · Medicare Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sam Hakki Hackette Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINI INVASIVE ORTHOPEDICS

Clinic/Center