Dr Jennifer Stevenson, DO | |
15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | |
(586) 236-2601 | |
Not Available |
Full Name | Dr Jennifer Stevenson |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 15855 19 Mile Rd, Clinton Twp, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942288030 | NPI | - | NPPES |
11-4831564 | Medicaid | MI | |
11-4831546 | Medicaid | MI | |
11-4831582 | Medicaid | MI | |
11-4831555 | Medicaid | MI | |
11289723 | Other | CAQH | |
11-4585200 | Medicaid | MI | |
11-4831591 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101014444 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer Stevenson, DO 38935 Ann Arbor Rd, Livonia, MI 48150-3354 Ph: (734) 632-0175 | Dr Jennifer Stevenson, DO 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 Ph: (586) 236-2601 |
Dr. Kevin Alexander Brody, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038 Phone: 586-236-2601 Fax: 586-263-2589 | |
Owais Siddiqui, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 36500 S Gratiot Ave, Clinton Twp, MI 48035 Phone: 586-790-9003 | |
Dr. Scott Sipp, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-236-2601 | |
Jerry Michael Greib, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038 Phone: 586-493-8000 | |
Anthony James Colucci, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038 Phone: 586-263-2601 Fax: 586-263-2589 | |
Dr. Ralph David Scolari, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038 Phone: 586-263-2601 Fax: 586-263-2589 | |
Dr. Amit Chopra, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038 Phone: 586-263-2601 Fax: 586-263-2589 |