Timothy Schmakel Pc | |
31100 Telegraph Rd Suite 100 Bingham Farms MI 48025-4363 | |
(248) 642-2115 | |
(248) 642-6387 |
Full Name | Timothy Schmakel Pc |
---|---|
Speciality | Dentist |
Location | 31100 Telegraph Rd, Bingham Farms, Michigan |
Authorized Official Name and Position | Timothy Raymond Schmakel (OWNER) |
Authorized Official Contact | 2486422115 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Timothy Schmakel Pc 31100 Telegraph Rd Suite 100 Bingham Farms MI 48025-4363 Ph: (248) 642-2115 | Timothy Schmakel Pc 31100 Telegraph Rd Suite 100 Bingham Farms MI 48025-4363 Ph: (248) 642-2115 |
NPI Number | 1316016561 |
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Provider Enumeration Date | 11/06/2006 |
Last Update Date | 12/31/2007 |
Medicare PECOS PAC ID | 3870675044 |
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Medicare Enrollment ID | O20080126000035 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316016561 | NPI | - | NPPES |
104370251 | Medicaid | MI | |
124370251 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 16953 (Michigan) | Primary |
Provider Name | Timothy R Schmakel |
---|---|
Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1811008154 PECOS PAC ID: 1153403324 Enrollment ID: I20080126000030 |
James W. Lepczyk D.d.s., P.c. Dental Clinic Medicare: Medicare Enrolled Practice Location: 31100 Telegraph Rd, Suite 100, Bingham Farms, MI 48025 Phone: 248-642-2115 Fax: 248-642-6387 | |
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