Brad A Shammout, DO | |
36175 Harper Ave, Clinton Township, MI 48035-3274 | |
(586) 741-3772 | |
(586) 741-4604 |
Full Name | Brad A Shammout |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 28 Years |
Location | 36175 Harper Ave, Clinton Township, 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 |
---|---|---|---|
1720067895 | NPI | - | NPPES |
0Q26008 | Other | MI | BCBS PROVIDER NUMBER |
4427962 | Medicaid | MI | |
0H26188 | Other | MI | BCBS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 5101014470 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St John Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eastpointe Radiologists Pc | 7618876327 | 59 |
Entity Name | Eastpointe Radiologists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558409649 PECOS PAC ID: 7618876327 Enrollment ID: O20031231000704 |
Mailing Address | Practice Location Address |
---|---|
Brad A Shammout, DO 36175 Harper Ave, Clinton Township, MI 48035-3274 Ph: (586) 741-3772 | Brad A Shammout, DO 36175 Harper Ave, Clinton Township, MI 48035-3274 Ph: (586) 741-3772 |
Kyoung Soo Bae, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-741-3772 Fax: 586-741-4604 | |
Michael P. Trpkovski, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-464-0740 | |
Cadie Lee Cunningham, Radiology Medicare: Not Enrolled in Medicare Practice Location: 38654 Bay Ln, Clinton Township, MI 48038 Phone: 586-854-2533 | |
Rojanandham Samudrala, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-741-3772 Fax: 586-741-4604 | |
Mrs. Cynthia Marie Wheeler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-741-3772 Fax: 586-741-4604 | |
Anthony P Munaco, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-741-3772 Fax: 586-741-4604 | |
Prof. Victor Maldonado, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-741-3772 Fax: 586-741-4604 |