Dr Evan J Kass, MD | |
2221 Livernois Rd, Ste 103, Troy, MI 48083 | |
(248) 519-0305 | |
(248) 519-0315 |
Full Name | Dr Evan J Kass |
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Gender | Male |
Speciality | Urology |
Location | 2221 Livernois Rd, Troy, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770574550 | NPI | - | NPPES |
1943253 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 4301031012 (Michigan) | Primary |
Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
---|---|
Dr Evan J Kass, MD 2221 Livernois Rd, Ste 103, Troy, MI 48083 Ph: (248) 519-0305 | Dr Evan J Kass, MD 2221 Livernois Rd, Ste 103, Troy, MI 48083 Ph: (248) 519-0305 |
Dr. David J Kearney, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4600 Investment Dr, Ste 370, Troy, MI 48098 Phone: 248-267-5035 Fax: 248-267-5036 | |
Dr. Tarek Pacha, D.O Urology Medicare: Accepting Medicare Assignments Practice Location: 4137 Coolidge Hwy, Troy, MI 48098 Phone: 256-861-6480 | |
Dr. Jason Michael Sandberg, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 130 Town Center Dr Ste 101, Troy, MI 48084 Phone: 248-740-0670 Fax: 248-740-1668 | |
Henry M Rosevear, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 130 Town Center Dr Ste 101, Troy, MI 48084 Phone: 248-740-0670 Fax: 248-740-0668 | |
Kenneth M Kernen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 130 Town Center Dr, Suite 101, Troy, MI 48084 Phone: 248-740-0670 Fax: 248-740-0668 |