Dr Leonard B Pollack, MD | |
Henry Ford Health System, 3500 Fifteen Mile Road, Sterling Heights, MI 48310 | |
(586) 977-9936 | |
(586) 977-6498 |
Full Name | Dr Leonard B Pollack |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | Henry Ford Health System, Sterling Heights, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114074929 | NPI | - | NPPES |
LP053419 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
192569410 | Medicaid | MI | |
700H262280 | Other | BLUE CROSS-BLUE CROSS | |
LP053419 | Other | CHAMPUS-CHAMPUS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301053419 (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 |
Entity Name | Henry Ford Macomb Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142 |
Mailing Address | Practice Location Address |
---|---|
Dr Leonard B Pollack, MD Henry Ford Health System, 3500 Fifteen Mile Road, Sterling Heights, MI 48310 Ph: (586) 977-9936 | Dr Leonard B Pollack, MD Henry Ford Health System, 3500 Fifteen Mile Road, Sterling Heights, MI 48310 Ph: (586) 977-9936 |
Dr. Rebecca K Wegner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42141 Mound Rd, Ste B, Sterling Heights, MI 48314 Phone: 586-254-7593 Fax: 586-254-7834 | |
Ismael Enrique Gonzalez Rangel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 43200 Dequindre Rd Ste 105, Sterling Heights, MI 48314 Phone: 248-780-9490 | |
Mary Burton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3500 15 Mile Rd, Sterling Heights, MI 48310 Phone: 586-977-6356 | |
Nirali Mody, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42141 Mound Rd # B, Sterling Heights, MI 48314 Phone: 586-254-7593 Fax: 586-254-7834 | |
Dr. Paul Luke Gogue, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 39242 Dequindre Rd, Suite 101, Sterling Heights, MI 48310 Phone: 586-446-8060 | |
Shirlee E. Kuhl, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 14500 Hall Road, Sterling Heights, MI 48313 Phone: 586-247-2940 Fax: 586-247-3733 |