Dr Christopher Michael O'connell, DO | |
15420 19 Mile Rd, Ste. 200, Clinton Township, MI 48038-6339 | |
(586) 649-6104 | |
(586) 263-0250 |
Full Name | Dr Christopher Michael O'connell |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 15420 19 Mile Rd, Clinton Township, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528017878 | NPI | - | NPPES |
4412880 | Medicaid | MI | |
4648909 | Medicaid | MI | |
4412870 | Medicaid | MI | |
4412861 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101014284 (Michigan) | Primary |
207Q00000X | Family Medicine | 0102206803 (Virginia) | Secondary |
Entity Name | Henry Ford Macomb Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142 |
Mailing Address | Practice Location Address |
---|---|
Dr Christopher Michael O'connell, DO 15420 19 Mile Rd, Ste. 200, Clinton Township, MI 48038-6339 Ph: (586) 649-6104 | Dr Christopher Michael O'connell, DO 15420 19 Mile Rd, Ste. 200, Clinton Township, MI 48038-6339 Ph: (586) 649-6104 |
Lina Rayes Yousif, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15400 19 Mile Rd, Suite 150, Clinton Township, MI 48038 Phone: 586-263-3400 Fax: 586-412-3670 | |
Dr. Gregory J Henk, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 42500 Hayes Rd, Suite 800, Clinton Township, MI 48038 Phone: 586-228-0200 | |
Nicholas Martin Gadzinski-wordsworth, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15400 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-3400 Fax: 586-412-3670 | |
Dhairya Kiri, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300 | |
Dr. Laurie Moy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-3400 | |
Martin Dukaj, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 43900 Garfield Rd Ste 222, Clinton Township, MI 48038 Phone: 586-286-0050 Fax: 586-286-0880 | |
Dr. Rim Kreit, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21250 Hall Rd, Suite 200, Clinton Township, MI 48038 Phone: 586-566-8240 Fax: 586-566-8404 |