Charles J Shanley, MD | |
16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230-1923 | |
(313) 473-4690 | |
(248) 551-3023 |
Full Name | Charles J Shanley |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 37 Years |
Location | 16815 E Jefferson Ave Ste 240, Grosse Pointe, 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 |
---|---|---|---|
1689614141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 4301051382 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vascular And Endovascular Institute Of Michigan Pc | 5799821948 | 2 |
Entity Name | Vascular And Endovascular Institute Of Michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629209374 PECOS PAC ID: 5799821948 Enrollment ID: O20091001000653 |
Entity Name | Beaumont Medical Group- Specialty Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
---|---|
Charles J Shanley, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Charles J Shanley, MD 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230-1923 Ph: (313) 473-4690 |
Dr. Dharti Sheth, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd Fl 2, Grosse Pointe, MI 48230 Phone: 313-473-6900 Fax: 586-771-8901 | |
Mr. Norman Alexander Bolz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 19229 Mack Ave, Suite 34, Grosse Pointe, MI 48236 Phone: 313-343-0209 Fax: 313-343-0427 | |
Michael C. Coello, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230 Phone: 313-473-4690 | |
Dr. Krikor Garo Arman Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 16815 E Jefferson Ave, Grosse Pointe, MI 48230 Phone: 313-473-4690 | |
Dr. Megan Hutchins D'john, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230 Phone: 313-473-4690 | |
John M Hartzell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1968 |