| Wayne State University Physician Group | |
|
27177 Lahser Rd, Suite 203, Southfield, MI 48034-8416 | |
| (248) 357-4151 | |
| (248) 357-0229 |
| Full Name | Wayne State University Physician Group |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 27177 Lahser Rd, Southfield, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346289600 | NPI | - | NPPES |
| 0P46750 | Other | MI | MEDICARE GROUP # - AUDIOLOGIST |
| 0F33443 | Other | MI | BCBSM GROUP NUMBER |
| 23D1065430 | Other | MI | CLIA WAIVER |
| 23D1086626 | Other | MI | CLIA WAIVER |
| 23D1091632 | Other | MI | CLIA WAIVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne State University Physician Group 1560 E Maple Rd, Suite 400-credentialing Dept., Troy, MI 48083 Ph: (248) 581-5973 | Wayne State University Physician Group 27177 Lahser Rd, Suite 203, Southfield, MI 48034-8416 Ph: (248) 357-4151 |
Dr. Tamy S Chelst, PHD Audiologist Medicare: Medicare Enrolled Practice Location: 22536 N Bellwood Dr, Southfield, MI 48034 Phone: 800-357-6879 Fax: 248-353-2268 | |
Dr. Elliott Ryan Thieme, AUD. Audiologist Medicare: Medicare Enrolled Practice Location: 29201 Telegraph Rd Ste 500, Southfield, MI 48034 Phone: 248-569-5985 | |
Alexandra Matta, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 29201 Telegraph Rd Ste 500, Southfield, MI 48034 Phone: 248-569-5985 Fax: 248-569-3704 | |
Kristen Mcarthur, AUDIOLOGIST Audiologist Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr, Ste 301, Southfield, MI 48075 Phone: 248-569-5985 | |
Dr. Karen Wimmer-finn, AUD. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Suite 301, Southfield, MI 48075 Phone: 248-569-5985 | |
Mobile Podiatry Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 27718 Franklin Road, Southfield, MI 48034 Phone: 877-355-9200 Fax: 781-231-7027 | |
Dr. Kelly Elizabeth Wright, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 29201 Telegraph Rd Ste 500, Southfield, MI 48034 Phone: 248-569-5985 Fax: 248-569-3704 |