Dr Charlton Castillo Lacerna, MD | |
19460 Grand River Ave, Detroit, MI 48223 | |
(313) 387-1097 | |
(313) 387-8795 |
Full Name | Dr Charlton Castillo Lacerna |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 19460 Grand River Ave, Detroit, 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 |
---|---|---|---|
1235373135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301116455 (Michigan) | Primary |
207Q00000X | Family Medicine | 60287621 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Home Health Agency - Oahu | Honolulu, HI | Home health agency |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hawaii Permanente Medical Group Inc | 7618880667 | 578 |
Entity Name | Hawaii Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625 |
Mailing Address | Practice Location Address |
---|---|
Dr Charlton Castillo Lacerna, MD 225 Touraine Rd, Grosse Pointe Farms, MI 48236-3323 Ph: (808) 228-8127 | Dr Charlton Castillo Lacerna, MD 19460 Grand River Ave, Detroit, MI 48223 Ph: (313) 387-1097 |
Dr. Fadl A Chokr, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
James Choi, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11260 E Jefferson Ave, Detroit, MI 48214 Phone: 313-749-0148 | |
Arnel V. Clarin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 1151 Taylor, Detroit, MI 48202 Phone: 313-823-9800 | |
Dr. Lauren Alicia Robinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6150 Cadieux Rd, Detroit, MI 48224 Phone: 313-398-2800 Fax: 313-649-4855 | |
Robert Nmn Sims, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9150 Linwood Ave, Detroit, MI 48206 Phone: 313-895-6605 Fax: 313-895-6530 | |
Kimberly M. Winston Matthews, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 4401 Conner, Detroit, MI 48215 Phone: 313-823-9800 Fax: 313-823-9883 | |
Peter G. Coggan, M.D.MSED Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 |