Brandy Eberhardt, DO | |
26006 Pontiac Trl, South Lyon, MI 48178-8050 | |
(248) 437-5613 | |
(248) 437-5694 |
Full Name | Brandy Eberhardt |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 19 Years |
Location | 26006 Pontiac Trl, South Lyon, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871705129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101016493 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital - Farmington Hills | Farmington hills, MI | Hospital |
Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Lyon Family Docs Pc | 6507035904 | 2 |
Entity Name | South Lyon Family Docs Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619266442 PECOS PAC ID: 6507035904 Enrollment ID: O20110801000422 |
Mailing Address | Practice Location Address |
---|---|
Brandy Eberhardt, DO 26006 Pontiac Trl, South Lyon, MI 48178-8050 Ph: (248) 437-5613 | Brandy Eberhardt, DO 26006 Pontiac Trl, South Lyon, MI 48178-8050 Ph: (248) 437-5613 |
Dr. Steve Sungmin Kim, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 210 N Lafayette St, South Lyon, MI 48178 Phone: 248-437-1744 | |
Promita Roychoudhury, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 N Lafayette, South Lyon, MI 48178 Phone: 248-437-1744 Fax: 248-446-2420 | |
Dr. Kyle M Samyn, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 22024 Pontiac Trl, South Lyon, MI 48178 Phone: 248-437-2525 | |
Dr. Michael Samir Matar, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 N Lafayette Street, South Lyon, MI 48178 Phone: 248-437-1744 | |
Dr. Shylaja Gontina-khatiwala, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9600 N Rushton Rd, South Lyon, MI 48178 Phone: 248-721-1510 | |
Lauren H. Groskaufmanis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 N Lafayette St, South Lyon, MI 48178 Phone: 248-437-1744 Fax: 248-437-3245 | |
Cherolee Rickey Trembath, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 N Lafayette St, South Lyon, MI 48178 Phone: 248-437-1744 Fax: 248-437-3245 |