Dr Henry Lane Walters Iii, MD | |
3901 Beaubien St, Detroit, MI 48201-2119 | |
(313) 745-5538 | |
(313) 993-0531 |
Full Name | Dr Henry Lane Walters Iii |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 3901 Beaubien St, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174503981 | NPI | - | NPPES |
286376510 | Medicaid | MI | |
0208211331 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301059126 (Michigan) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 430105916 (Michigan) | Primary |
Entity Name | Vhs Physicians Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073827101 PECOS PAC ID: 8921289760 Enrollment ID: O20110225000849 |
Mailing Address | Practice Location Address |
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Dr Henry Lane Walters Iii, MD Po Box 441097, Detroit, MI 48244-1097 Ph: (313) 745-6896 | Dr Henry Lane Walters Iii, MD 3901 Beaubien St, Detroit, MI 48201-2119 Ph: (313) 745-5538 |
Dr. Ralph Ernest Delius, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3901 Beaubien Blvd, Detroit, MI 48201 Phone: 313-745-5538 Fax: 313-993-0531 | |
Mr. Jeffrey A Morgan, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, K-14, Rm 1435, Detroit, MI 48202 Phone: 313-790-2741 Fax: 313-916-2687 | |
Dr. Sanjay Batra, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 22201 Moross Road, Suite 356, Detroit, MI 48236 Phone: 313-343-7444 Fax: 313-343-7999 | |
Dr. Mamdouh Dakhel A Alahmadi, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-2000 | |
Ikenna Chidume Okereke, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Shivaprakash Seshadri, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5437 | |
Dr. David I Sternberg, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4100 John R St, Detroit, MI 48201 Phone: 248-676-2582 |