Brian G Halloran, MD | |
5325 Elliott Dr, Suite 104, Ypsilanti, MI 48197-8633 | |
(734) 712-8150 | |
(734) 712-8151 |
Full Name | Brian G Halloran |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 5325 Elliott Dr, Ypsilanti, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205870292 | NPI | - | NPPES |
4207744-10 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 4301075759 (Michigan) | Primary |
Entity Name | Iha Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Entity Name | St Joseph Mercy Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659499705 PECOS PAC ID: 3779489281 Enrollment ID: O20040226001002 |
Entity Name | Saint Joseph Mercy Livingston Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285753236 PECOS PAC ID: 8628964525 Enrollment ID: O20040301000934 |
Mailing Address | Practice Location Address |
---|---|
Brian G Halloran, MD 5325 Elliott Dr, Suite 104, Ypsilanti, MI 48197-8633 Ph: (734) 712-8150 | Brian G Halloran, MD 5325 Elliott Dr, Suite 104, Ypsilanti, MI 48197-8633 Ph: (734) 712-8150 |
Mr. Chinmaya Suhas Shelgikar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5325 Elliott Dr, Suite 104, Ypsilanti, MI 48197 Phone: 734-712-8150 Fax: 734-712-8157 | |
Mary-margaret Brandt, MD, MHSA Surgery Medicare: Accepting Medicare Assignments Practice Location: 5301 E. Huron River Dr., Ypsilanti, MI 48197 Phone: 734-712-7017 Fax: 734-712-2844 | |
Justin L Chamberlain, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Iha General Surgery, 5325 Elliott Drive Suite 104, Ypsilanti, MI 48197 Phone: 734-712-8150 Fax: 734-887-8939 | |
Dr. Harry L Anderson Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5301 Mcauley Dr, Surgical Critical Care, Ste 2482, Ypsilanti, MI 48197 Phone: 734-712-2808 Fax: 734-712-2844 | |
Marisa O'neill, DO Surgery Medicare: Medicare Enrolled Practice Location: 5320 Elliott Drive, Suite 203, Ypsilanti, MI 48197 Phone: 734-712-1700 Fax: 734-887-8938 | |
Kurt A Kralovich, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5301 E. Huron River Dr., Ypsilanti, MI 48197 Phone: 734-712-7017 Fax: 734-712-2844 | |
Dr. Kumari N Adams, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5325 Elliott Dr, Ste 102, Ypsilanti, MI 48197 Phone: 734-712-5500 Fax: 734-712-8209 |