Dr James Randolph Lulek, MD | |
18181 Oakwood Blvd, Suite 209, Dearborn, MI 48124-5032 | |
(313) 271-8560 | |
(313) 271-2831 |
Full Name | Dr James Randolph Lulek |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 50 Years |
Location | 18181 Oakwood Blvd, Dearborn, 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 |
---|---|---|---|
1316911498 | NPI | - | NPPES |
1343439 | Medicaid | MI | |
020H263670 | Other | MI | BCBSM GROUP PIN# |
02-0820266-2 | Other | MI | BCBSM INDIVIDUAL PIN# |
B6130 | Other | MI | MCARE INDIVIDUAL PIN# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301035314 (Michigan) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 4301035314 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
Beaumont Hospital - Wayne | Wayne, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaumont Medical Group- Specialty Services | 7214299866 | 781 |
Entity Name | Beaumont Medical Group- Specialty Services |
---|---|
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 James Randolph Lulek, MD 18181 Oakwood Blvd, Suite 209, Dearborn, MI 48124-5032 Ph: (313) 271-8560 | Dr James Randolph Lulek, MD 18181 Oakwood Blvd, Suite 209, Dearborn, MI 48124-5032 Ph: (313) 271-8560 |
John J Fath, MD Surgery Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-982-5440 | |
Shawn Cuyler Dowling, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 18181 Oakwood Blvd Ste 212, Dearborn, MI 48124 Phone: 313-438-7397 | |
Erik Rafael Gamarra, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-8660 | |
Guat Sia Sy Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 17000 Hubbard Dr, Suite 700, Dearborn, MI 48126 Phone: 313-271-2990 Fax: 313-271-1698 | |
Zachary Fent, DO, MS Surgery Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Daniel Rebock, DO Surgery Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Yue Chin, DO Surgery Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 |