Western Lake Erie Oms, Pc | |
876 Stewart Rd #3 Monroe MI 48162-5345 | |
(734) 243-9160 | |
(734) 243-6393 |
Full Name | Western Lake Erie Oms, Pc |
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Speciality | Clinic/Center |
Location | 876 Stewart Rd, Monroe, Michigan |
Authorized Official Name and Position | Wendy Vore (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 7342439160 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Western Lake Erie Oms, Pc 876 Stewart Rd #3 Monroe MI 48162-5345 Ph: (734) 243-9160 | Western Lake Erie Oms, Pc 876 Stewart Rd #3 Monroe MI 48162-5345 Ph: (734) 243-9160 |
NPI Number | 1629445986 |
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Provider Enumeration Date | 08/21/2015 |
Last Update Date | 07/31/2019 |
Medicare PECOS PAC ID | 9133429368 |
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Medicare Enrollment ID | O20151119002586 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629445986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Michigan) | Secondary |
261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | James E Mayer |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1891795233 PECOS PAC ID: 7315123239 Enrollment ID: I20110510000838 |
Provider Name | David A Shall |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1194968347 PECOS PAC ID: 9234439472 Enrollment ID: I20151119002945 |
Provider Name | Aaron M Brinster |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1629393707 PECOS PAC ID: 9335417369 Enrollment ID: I20170616000164 |
Kuras Dental Health Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Cole Rd, Monroe, MI 48162 Phone: 734-242-7120 Fax: 734-384-9744 | |
Kyle Lambert Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3749 N Dixie Hwy, Monroe, MI 48162 Phone: 307-287-0729 | |
River Rock Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5323 Raven Pkwy, Monroe, MI 48161 Phone: 734-243-6282 | |
Frenchtown Smiles Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3749 N Dixie Hwy, Monroe, MI 48162 Phone: 734-384-3008 | |
David F. Yentz, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1080 N Monroe St, Monroe, MI 48162 Phone: 734-242-8885 Fax: 734-242-1410 | |
Maria T Mcmullin Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Cole Rd, Monroe, MI 48162 Phone: 734-241-5115 | |
County Of Monroe Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2353 S Custer Rd, Monroe, MI 48161 Phone: 734-240-7800 |