Daniel C Souphis, DO | |
4190 24th Ave, Fort Gratiot, MI 48059-3882 | |
(810) 989-7788 | |
(810) 989-7799 |
Full Name | Daniel C Souphis |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 33 Years |
Location | 4190 24th Ave, Fort Gratiot, 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 |
---|---|---|---|
1225004252 | NPI | - | NPPES |
1225004252 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101011575 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Great Lakes Caring | Jackson, MI | Home health agency |
Mclaren Home Health | Sterling heights, MI | Home health agency |
Beacon Home Care | Port huron, MI | Home health agency |
Mclaren Visiting Nurse & Hospice | Davison, MI | Hospice |
Hometown Home Health Care And Hospice | Lapeer, MI | Hospice |
Mclaren Port Huron | Port huron, MI | Hospital |
Lake Huron Medical Center | Port huron, MI | Hospital |
Medilodge Of Port Huron | Fort gratiot, MI | Nursing home |
Marwood Manor Nursing Home | Port huron, MI | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physician Healthcare Network Pc | 3476456252 | 30 |
Entity Name | Physician Healthcare Network Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750334405 PECOS PAC ID: 3476456252 Enrollment ID: O20040129000586 |
Mailing Address | Practice Location Address |
---|---|
Daniel C Souphis, DO 4190 24th Ave, Fort Gratiot, MI 48059-3882 Ph: (810) 989-7788 | Daniel C Souphis, DO 4190 24th Ave, Fort Gratiot, MI 48059-3882 Ph: (810) 989-7788 |
Farrukh Zaman Naqvi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 24th Ave, Fort Gratiot, MI 48059 Phone: 810-989-7788 Fax: 810-989-7799 | |
Dr. Julie A Boutt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4071 24th Ave, Fort Gratiot, MI 48059 Phone: 810-824-4222 Fax: 810-824-4220 | |
Christopher J Borgiel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 24th Ave, Fort Gratiot, MI 48059 Phone: 810-989-7788 Fax: 810-989-7799 | |
Gail F Mcintyre, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3061 Commerce Dr, Suite 5, Fort Gratiot, MI 48059 Phone: 810-385-6663 Fax: 810-385-6322 | |
Jude L Stratford, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3903 Stoney Ridge Dr, Fort Gratiot, MI 48059 Phone: 810-385-2295 | |
Lavi Rohatgi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4190 24th Ave, Fort Gratiot, MI 48059 Phone: 810-989-7777 Fax: 810-989-7782 |