Dr Jesse Martinez, DO | |
9377 N Haggerty Rd, Plymouth, MI 48170-4622 | |
(734) 451-0070 | |
(734) 451-1583 |
Full Name | Dr Jesse Martinez |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 9377 N Haggerty Rd, Plymouth, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699762567 | NPI | - | NPPES |
4166042-11 | Medicaid | MI | |
4387007-11 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 5101012766 (Michigan) | Primary |
Entity Name | Bloomfield Medical Center Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265523328 PECOS PAC ID: 1153235742 Enrollment ID: O20031118000379 |
Mailing Address | Practice Location Address |
---|---|
Dr Jesse Martinez, DO 23900 Orchard Lake Rd, Ste 150, Farmington Hills, MI 48336-2500 Ph: (248) 234-8690 | Dr Jesse Martinez, DO 9377 N Haggerty Rd, Plymouth, MI 48170-4622 Ph: (734) 451-0070 |
Mrs. Cynthia Denise Culler-johnson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 990 W Ann Arbor Trl, Suite 208, Plymouth, MI 48170 Phone: 734-455-1200 Fax: 734-455-5219 | |
Siyadath S. Rabbaig, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 14300 Beck Road, Plymouth, MI 48170 Phone: 734-453-5600 Fax: 734-354-5960 | |
Robert Charles Urbanic, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 990 W Ann Arbor Trl, Suite 100, Plymouth, MI 48170 Phone: 734-455-4200 Fax: 734-455-0035 | |
Dr. Stephen Andrew Antonucci, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 46347 Academy Dr, Plymouth, MI 48170 Phone: 734-330-4321 | |
Dr. Praveen Kumar Modi, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 990 W Ann Arbor Trl, Suite 102, Plymouth, MI 48170 Phone: 734-414-1088 Fax: 734-414-1095 | |
Naman Jhaveri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15474 N Haggerty Rd, Plymouth, MI 48170 Phone: 734-335-6103 | |
Mark Hughes, MD, PHD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 705 S Main St, Plymouth, MI 48170 Phone: 313-492-4363 Fax: 313-544-4006 |