Christopher R Deangelis, DO | |
25000 Hall Rd, Ste 1, Trenton, MI 48183-5112 | |
(734) 676-3373 | |
(734) 676-2014 |
Full Name | Christopher R Deangelis |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 25000 Hall Rd, Trenton, 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 |
---|---|---|---|
1629076450 | NPI | - | NPPES |
P109110 | Other | BCN | |
38-3510876 | Other | TAX ID# | |
1172589003 | Other | CIGNA | |
5390707 | Other | AETNA | |
1158206834 | Other | BCBS | |
C8111 | Other | M-CARE | |
CD013396 | Other | STATE LIC# | |
P127746 | Other | CARE CHOICES | |
110218319 | Other | RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | CD013396 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
Beaumont Hospital - Trenton | Trenton, MI | Hospital |
Henry Ford Wyandotte Hospital | Wyandotte, MI | Hospital |
Beaumont Hospital - Taylor | Taylor, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Street Physicians Pc | 6709125693 | 2 |
Entity Name | Main Street Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952866808 PECOS PAC ID: 6709125693 Enrollment ID: O20190312001434 |
Mailing Address | Practice Location Address |
---|---|
Christopher R Deangelis, DO 25000 Hall Rd, Ste 1, Trenton, MI 48183-5112 Ph: (734) 676-3373 | Christopher R Deangelis, DO 25000 Hall Rd, Ste 1, Trenton, MI 48183-5112 Ph: (734) 676-3373 |
Dr. Mohsen Dourra, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Dr. Ian Zachary Lewis, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Ronak R Patel, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 | |
Dr. Michael Ashbrook, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5400 Fort St Ste 110, Trenton, MI 48183 Phone: 248-898-4176 | |
Marc Herschfus, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5452 Fort St Ste 200, Trenton, MI 48183 Phone: 734-642-2727 | |
Dr. Kajoor Sudhakara, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1675 Kingsway Ct, Trenton, MI 48183 Phone: 734-676-8530 Fax: 734-676-2319 | |
James R Johnson, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5400 Fort St, Suite 130, Trenton, MI 48183 Phone: 734-362-7100 Fax: 734-671-1768 |