Andrew Daugherty, MD | |
37605 Pembroke Ave, Livonia, MI 48152-1050 | |
(734) 591-7931 | |
(734) 464-0335 |
Full Name | Andrew Daugherty |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 37605 Pembroke Ave, Livonia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538583703 | NPI | - | NPPES |
1538583703 | Medicaid | MI |
Entity Name | Pinnacle Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861930984 PECOS PAC ID: 8628353380 Enrollment ID: O20181008002699 |
Mailing Address | Practice Location Address |
---|---|
Andrew Daugherty, MD 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2111 Ph: (757) 953-0669 | Andrew Daugherty, MD 37605 Pembroke Ave, Livonia, MI 48152-1050 Ph: (734) 591-7931 |
Mark Goralewski, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14801 Farmington Rd, Livonia, MI 48154 Phone: 734-542-8100 | |
Olabola Awosika, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 37605 Pembroke Ave, Livonia, MI 48152 Phone: 834-591-7931 Fax: 734-464-0335 | |
Dr. Sajiv Gugneja, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 20234 Farmington Rd, Livonia, MI 48152 Phone: 248-474-8440 Fax: 248-474-5714 | |
Kristy Bojazi Charles, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 19900 Haggerty Road, Suite 105, Livonia, MI 48152 Phone: 734-936-4054 | |
Dr. Andrew J Mitchell, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 20234 Farmington Rd, Livonia, MI 48152 Phone: 248-474-8440 Fax: 248-474-5714 | |
Khaled Hassan El-hoshy, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14555 Levan Rd, Ste 410, Livonia, MI 48154 Phone: 734-462-9499 Fax: 734-462-4124 | |
Dr. David Pegouske, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14801 Farmington Rd, Livonia, MI 48154 Phone: 734-542-8100 Fax: 734-542-8168 |