David Carroll, MD | |
1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | |
(617) 583-0221 | |
Not Available |
Full Name | David Carroll |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1 Genesys Pkwy, Grand Blanc, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356900054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4351045461 (Michigan) | Primary |
Entity Name | Medical Center Emergency Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902855711 PECOS PAC ID: 0648182071 Enrollment ID: O20031104000133 |
Entity Name | Michigan Emergency Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316968191 PECOS PAC ID: 7315927894 Enrollment ID: O20040723001095 |
Mailing Address | Practice Location Address |
---|---|
David Carroll, MD 99 Harris Ave, Needham, MA 02492-3709 Ph: (617) 583-0221 | David Carroll, MD 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 Ph: (617) 583-0221 |
Dr. Tara Knisely, MD, MPH Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000 | |
Michael Briggs, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6137 | |
Alison Marie Ralston, Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6372 | |
Brian T West, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6137 | |
Dr. Brendan Haigis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6372 | |
Roland R Tindle, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Holly Rd, Grand Blanc, MI 48439 Phone: 810-695-8011 Fax: 810-695-8002 | |
Dr. Ryan Patrick Kirby, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000 |