Charles Luis Nino, MD | |
30055 Northwestern Hwy, Suite 220, Farmington Hills, MI 48334-3230 | |
(248) 865-9898 | |
(248) 865-9423 |
Full Name | Charles Luis Nino |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 35 Years |
Location | 30055 Northwestern Hwy, Farmington Hills, 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 |
---|---|---|---|
1922057199 | NPI | - | NPPES |
3174881 | Medicaid | MI | |
10 | Other | MI | 10 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 4301051254 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
Ascension St John Hospital | Detroit, MI | Hospital |
University Of Michigan Health System | Ann arbor, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Providence Hospital | 6103738703 | 178 |
Entity Name | Ascension Providence Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
Entity Name | Ascension Medical Group Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942317631 PECOS PAC ID: 0648180406 Enrollment ID: O20031113000362 |
Mailing Address | Practice Location Address |
---|---|
Charles Luis Nino, MD 30055 Northwestern Hwy, Suite 220, Farmington Hills, MI 48334-3230 Ph: (248) 865-9898 | Charles Luis Nino, MD 30055 Northwestern Hwy, Suite 220, Farmington Hills, MI 48334-3230 Ph: (248) 865-9898 |
Kali Allis, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-417-8000 | |
Dr. Jyothsna Yalavarthi, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 734-464-0887 Fax: 734-402-0254 | |
Dr. Roberto Mauro Gamarra, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 30055 Northwestern Hwy, Suite 250, Farmington Hills, MI 48334 Phone: 248-985-5000 Fax: 248-985-5500 | |
Dr. Jared Grodman, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 23133 Orchard Lake Rd Ste 200, Farmington Hills, MI 48336 Phone: 248-579-9220 | |
Justin Cykiert, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-615-0777 | |
Larry A Wickless, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 28080 Grand River Ave, Suite 306, Farmington Hills, MI 48336 Phone: 248-471-8982 Fax: 248-426-7350 | |
Alabbas Alaamili, DO Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 |