Dr Kevin Allen Jutzy, MD | |
15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038-3504 | |
(586) 263-2601 | |
(586) 263-2589 |
Full Name | Dr Kevin Allen Jutzy |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 15855 Nineteen Mile Road, 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 |
---|---|---|---|
1902014517 | NPI | - | NPPES |
11879585 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301086095 (Michigan) | Primary |
Entity Name | Professional Emergency Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578568036 PECOS PAC ID: 3870493588 Enrollment ID: O20040119000662 |
Entity Name | Emergency Department Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466 |
Entity Name | Observation Emergency Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Allen Jutzy, MD 38935 Ann Arbor Road, Credentialing/payer Contracting Services, Livonia, MI 48150-3397 Ph: (734) 632-0175 | Dr Kevin Allen Jutzy, MD 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038-3504 Ph: (586) 263-2601 |
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 |