Annette G Desantis, MD | |
18181 Oakwood Blvd, Suite 411, Dearborn, MI 48124-5032 | |
(313) 438-7373 | |
(313) 438-7375 |
Full Name | Annette G Desantis |
---|---|
Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 18181 Oakwood Blvd, Dearborn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730135492 | NPI | - | NPPES |
2505035481 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | AD042312 (Michigan) | Primary |
Entity Name | University Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
Mailing Address | Practice Location Address |
---|---|
Annette G Desantis, MD 1420 Stephenson Hwy, Suite 400--credentialing, Troy, MI 48083-1189 Ph: (248) 581-5974 | Annette G Desantis, MD 18181 Oakwood Blvd, Suite 411, Dearborn, MI 48124-5032 Ph: (313) 438-7373 |
Hi Joo Kim, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 17000 Hubbard Dr, Suite 800, Dearborn, MI 48126 Phone: 313-240-7595 Fax: 313-240-7599 | |
Miss Janice Chavez, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4945 Schaefer Rd, Dearborn, MI 48126 Phone: 313-581-0744 | |
Renee Talaat Ishak Labib, RPT, CLT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 5445 Oakman Blvd, Dearborn, MI 48126 Phone: 313-584-4625 Fax: 313-584-5676 | |
Dr. Riley M Smith, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 18181 Oakwood Blvd, Ste 411, Dearborn, MI 48124 Phone: 313-438-7373 Fax: 313-438-7375 | |
Matthew Pierce, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2552 Monroe St, Dearborn, MI 48124 Phone: 313-278-7800 | |
Dr. Melda Luzadas, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 15120 Michigan Ave, Dearborn, MI 48126 Phone: 313-582-1911 Fax: 313-582-8627 | |
Nicole Mokanyk, LPTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 15101 Ford Rd, Dearborn, MI 48126 Phone: 877-660-1807 |