Anthony Paniccia, MD | |
19901 E 10 Mile Rd, St Clair Shores, MI 48080-1069 | |
(586) 777-1277 | |
(586) 777-0106 |
Full Name | Anthony Paniccia |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 28 Years |
Location | 19901 E 10 Mile Rd, St Clair Shores, 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 |
---|---|---|---|
1891761821 | NPI | - | NPPES |
0P27380 | Other | MI | MEDICARE GROUP LEGACY # |
4588604 | Medicaid | MI | |
0501046 | Other | MI | BCBS PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301070278 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St John Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension St John Hospital | 3173424082 | 279 |
Entity Name | Ascension St John Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
Mailing Address | Practice Location Address |
---|---|
Anthony Paniccia, MD 43800 Garfield Rd, Suite 201, Clinton Twp, MI 48038-1136 Ph: (800) 848-0202 | Anthony Paniccia, MD 19901 E 10 Mile Rd, St Clair Shores, MI 48080-1069 Ph: (586) 777-1277 |
Margaret Eckel, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22646 E 9 Mile Rd, Suite A, St Clair Shores, MI 48080 Phone: 586-498-4800 Fax: 586-498-4830 | |
Eileen Margaret Reickert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24911 Little Mack Ave, St Clair Shores, MI 48080 Phone: 586-777-2050 Fax: 586-777-2189 | |
Rhetta Faye C Maribao, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21600 Harper Avenue, 100, St Clair Shores, MI 48080 Phone: 586-726-0340 Fax: 586-254-3872 | |
Donna M Hoban, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22646 E 9 Mile Rd, Suite A, St Clair Shores, MI 48080 Phone: 586-498-4800 Fax: 586-498-4830 | |
Mary E Murphy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24911 Little Mack Ave, St Clair Shores, MI 48080 Phone: 586-777-2050 Fax: 586-447-9081 | |
Kathleen M Fulgenzi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 24911 Little Mack Ave, St Clair Shores, MI 48080 Phone: 586-777-2050 Fax: 586-777-2189 | |
Rajiv Agrawal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23600 Harper Avenue, Suite 102, St Clair Shores, MI 48080 Phone: 586-443-4940 Fax: 586-443-4945 |