Dr Jennifer Nofar Boukouris, MD | |
22101 Moross Rd, Department Of Emergency Medicine, Detroit, MI 48236-2148 | |
(313) 343-8797 | |
(313) 343-7620 |
Full Name | Dr Jennifer Nofar Boukouris |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 18 Years |
Location | 22101 Moross Rd, Detroit, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659574317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301088556 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Independent Observation Physicians Pllc | 3577603604 | 60 |
Entity Name | Independent Emergency Physicians, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
Entity Name | Independent Observation Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700119500 PECOS PAC ID: 3577603604 Enrollment ID: O20091221000327 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer Nofar Boukouris, MD 22101 Moross Rd, Department Of Emergency Medicine, Detroit, MI 48236-2148 Ph: (313) 343-8797 | Dr Jennifer Nofar Boukouris, MD 22101 Moross Rd, Department Of Emergency Medicine, Detroit, MI 48236-2148 Ph: (313) 343-8797 |
Kristin Inger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3300 | |
Dr. Gerard Edward Heath, MD, MBA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Robert T Malinowski, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3300 | |
Dr. Kamal K Nangia, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8040 | |
Dr. Matthew J Griffin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3300 | |
Gregory L. Hays, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Brooke M Frakes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-1024 |