Dr Charles M Wasson, MD | |
461 W Huron St, Nomc Emercency Center, Pontiac, MI 48341-1601 | |
(248) 857-7440 | |
(248) 857-6992 |
Full Name | Dr Charles M Wasson |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 461 W Huron St, Pontiac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851348312 | NPI | - | NPPES |
104494778 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301406119 (Michigan) | Primary |
207P00000X | Emergency Medicine | 285836 (New York) | Secondary |
Entity Name | Sparrow Clinton Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396827952 PECOS PAC ID: 5395658850 Enrollment ID: O20031111000063 |
Entity Name | Ascension Borgess Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568416311 PECOS PAC ID: 5294645750 Enrollment ID: O20040209000029 |
Mailing Address | Practice Location Address |
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Dr Charles M Wasson, MD 5029 Hickory Pointe Dr, Orchard Lake, MI 48323-1516 Ph: (248) 681-6007 | Dr Charles M Wasson, MD 461 W Huron St, Nomc Emercency Center, Pontiac, MI 48341-1601 Ph: (248) 857-7440 |
Dr. Michael Christopher Dettloff, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Dr. William M. Serote, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Nomc Emercency Center, Pontiac, MI 48341 Phone: 248-857-7440 Fax: 248-857-6992 | |
Dr. Jennifer Ann Freij, D.O Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Dr. David Anthony Minter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Dr. Alexander Samuel Madgy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-849-3485 | |
Dr. Phillip J. Masterson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 461 W Huron St, Nomc Emergency Center, Pontiac, MI 48341 Phone: 248-857-7440 Fax: 248-857-6992 | |
R Steven Hemby, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5327 Fax: 248-338-5129 |