Dr James Tony Millican Jr, MD | |
18101 Oakwood Blvd, Emergency Medicine Department, Dearborn, MI 48124-4089 | |
(313) 593-8780 | |
(313) 436-2864 |
Full Name | Dr James Tony Millican Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 18101 Oakwood Blvd, Dearborn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639112667 | NPI | - | NPPES |
1639112667 | Medicaid | MI | |
11614815 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301081866 (Michigan) | Primary |
Entity Name | Vituity - Michigan Em Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144892332 PECOS PAC ID: 8022414010 Enrollment ID: O20210830002859 |
Mailing Address | Practice Location Address |
---|---|
Dr James Tony Millican Jr, MD 38935 Ann Arbor Rd, Credentialin/payer Contracting, Livonia, MI 48150-3397 Ph: (734) 632-0175 | Dr James Tony Millican Jr, MD 18101 Oakwood Blvd, Emergency Medicine Department, Dearborn, MI 48124-4089 Ph: (313) 593-8780 |
Dr. Mitchel M Garfield, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Emergency Medicine Department, Dearborn, MI 48124 Phone: 313-593-7000 Fax: 313-436-2864 | |
Ali H Dabaja, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 S Denwood St, Dearborn, MI 48124 Phone: 734-266-2780 Fax: 734-466-9615 | |
Archana C Desai, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 19401 Hubbard Dr, Department Of Emergency Medicine, Dearborn, MI 48126 Phone: 313-982-8100 | |
Dr. Robert E Baumstark Ii, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Emergency Dept, Dearborn, MI 48123 Phone: 313-593-8780 Fax: 313-436-2864 | |
Dr. Joseph L. Warren, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Madiha Khurshid, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Kelly Jeanne Kozlowski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 19401 Hubbard Dr, Dearborn, MI 48126 Phone: 313-982-8261 |