Dr John R Collop, DO | |
7300 N Canton Center Rd, Emergency Medicine Dept, Canton, MI 48187-1579 | |
(734) 454-8002 | |
(734) 454-2733 |
Full Name | Dr John R Collop |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 7300 N Canton Center Rd, Canton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043256167 | NPI | - | NPPES |
10432561167 | Medicaid | MI | |
4661689 | Medicaid | MI | |
4849246 | Medicaid | MI | |
JC007293 | Other | MI | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101007293 (Michigan) | Primary |
Entity Name | Emergency Professionals Of Michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952740656 PECOS PAC ID: 3274767371 Enrollment ID: O20131003000093 |
Mailing Address | Practice Location Address |
---|---|
Dr John R Collop, DO 38935 Ann Arbor Rd, Credentialing/payer Contracting, Livonia, MI 48150-3397 Ph: (734) 632-0175 | Dr John R Collop, DO 7300 N Canton Center Rd, Emergency Medicine Dept, Canton, MI 48187-1579 Ph: (734) 454-8002 |
Dr. Chada Natalie Reddy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7300 Canton Center Road, Emergency Medicine Department, Canton, MI 48187 Phone: 734-454-8002 Fax: 734-454-2733 | |
Dr. Ifeoma N Kamalu, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7300 N Canton Center Rd, Canton, MI 48187 Phone: 734-454-8002 Fax: 734-454-2733 | |
Dr. Jill Angela Ward, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5816 N Sheldon Rd, Canton, MI 48187 Phone: 858-775-1700 | |
Asad Mahmoud Tarsin, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7300 N Canton Center Rd, Canton, MI 48187 Phone: 734-454-8001 | |
Dr. David Weaver, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7300 N Canton Center Rd, Emergency Medicine Department, Canton, MI 48187 Phone: 734-454-8002 Fax: 734-454-2733 | |
Dr. Tracey Lynne Venning, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 S Canton Center Rd, Canton, MI 48188 Phone: 734-844-8743 Fax: 734-844-8744 |