Dr Claude Charles Lerose Jr, DDS | |
20675 Mack Ave, Grosse Pointe Woods, MI 48236 | |
(313) 885-8344 | |
(313) 885-1819 |
Full Name | Dr Claude Charles Lerose Jr |
---|---|
Gender | Male |
Speciality | Maxillofacial Surgery |
Experience | 11 Years |
Location | 20675 Mack Ave, Grosse Pointe Woods, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831536861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901020949 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Oral And Maxillofacial Surgery Pc | 5991772287 | 6 |
Ascension Macomb Oakland Hospital | 7315859725 | 118 |
Entity Name | Ascension Macomb Oakland Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134176472 PECOS PAC ID: 7315859725 Enrollment ID: O20031107000047 |
Entity Name | Summit Oral & Maxillofacial Surgery Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811066129 PECOS PAC ID: 5991772287 Enrollment ID: O20040915000948 |
Mailing Address | Practice Location Address |
---|---|
Dr Claude Charles Lerose Jr, DDS 20675 Mack Ave, Grosse Pointe Woods, MI 48236-1618 Ph: (313) 885-8344 | Dr Claude Charles Lerose Jr, DDS 20675 Mack Ave, Grosse Pointe Woods, MI 48236 Ph: (313) 885-8344 |
Dr. Mark F Kusch, DDS Dentist Medicare: Medicare Enrolled Practice Location: 21219 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-882-7961 Fax: 313-882-8630 | |
Dr. Michael Direzze, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 20323 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-881-0077 | |
Dr. Benjamin John Czerniawski, DDS MS Dentist Medicare: Medicare Enrolled Practice Location: 20323 Mack Avenue, Grosse Pointe Woods, MI 48236 Phone: 313-881-0077 Fax: 313-881-2561 | |
Dr. Theodore C. Hadgis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 20039 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-885-9454 | |
Dr. Paul David Stuckey, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 19639 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-882-2575 Fax: 313-881-8656 | |
Mary Sue Stonisch, DDS Dentist Medicare: Medicare Enrolled Practice Location: 20040 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-882-2000 Fax: 313-882-2515 | |
Dr. Donya Dabiri, Dentist Medicare: Medicare Enrolled Practice Location: 19251 Mack Ave Ste 220, Grosse Pointe Woods, MI 48236 Phone: 313-343-8790 |