Adel Ghacham, MD | |
804 Service Rd Ste A225, East Lansing, MI 48824-7015 | |
(517) 353-2562 | |
(517) 353-2563 |
Full Name | Adel Ghacham |
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Gender | Male |
Speciality | Family Medicine |
Location | 804 Service Rd Ste A225, East Lansing, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205454246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301509398 (Michigan) | Primary |
Entity Name | Msu Health Care Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744 |
Mailing Address | Practice Location Address |
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Adel Ghacham, MD 804 Service Rd Ste A202, East Lansing, MI 48824-7015 Ph: (517) 353-2562 | Adel Ghacham, MD 804 Service Rd Ste A225, East Lansing, MI 48824-7015 Ph: (517) 353-2562 |
Dr. Fiel Ybanez Cunningham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 804 Service Rd Ste A225, East Lansing, MI 48824 Phone: 517-353-2562 Fax: 517-353-2563 | |
Dr. Michael J Hafran, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd Ste A225, East Lansing, MI 48824 Phone: 517-353-2562 Fax: 517-353-2563 | |
Dr. Christine A Blakeney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1520 Ramblewood Dr., Suite 100, East Lansing, MI 48823 Phone: 517-324-9400 Fax: 517-324-9482 | |
Dr. Cynthia A. Buchweitz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2035 Asher Ct, Suite 200, East Lansing, MI 48823 Phone: 517-337-8580 Fax: 517-337-8577 | |
Megan Quinlan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd Ste A225, East Lansing, MI 48824 Phone: 517-353-2562 Fax: 517-353-2563 | |
Julia Bowman Popenoe, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 463 E Circle Dr, East Lansing, MI 48824 Phone: 517-884-6546 Fax: 517-432-9460 | |
Dr. Robin Hazard Demuth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd, Suite A142, East Lansing, MI 48824 Phone: 517-353-3050 Fax: 517-432-3742 |