Dr Leonard Eugene Ellison Jr, MD | |
17330 Northland Park Ct, Southfield, MI 48075-4318 | |
(248) 552-9500 | |
(248) 552-8144 |
Full Name | Dr Leonard Eugene Ellison Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 28 Years |
Location | 17330 Northland Park Ct, Southfield, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679575328 | NPI | - | NPPES |
1679575328 | Medicaid | MI | |
1106353112 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301068024 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
John Paul Home Health Care | Bingham farms, MI | Home health agency |
Renaissance Home Healthcare Services | Farmington hills, MI | Home health agency |
Maple Health Care | Troy, MI | Home health agency |
Harper University Hospital | Detroit, MI | Hospital |
Detroit Receiving Hospital | Detroit, MI | Hospital |
Sinai-grace Hospital | Detroit, MI | Hospital |
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Mission Point Nsg & Physical Rehab Ctr Of Detroit | Detroit, MI | Nursing home |
Hartford Nursing & Rehabilitation Center | Detroit, MI | Nursing home |
Riverview Health & Rehab Center | Detroit, MI | Nursing home |
St Joseph's, A Villa Center | Hamtramck, MI | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Leonard Ellison Jr Md Pc | 2567412893 | 2 |
Sciometrix Llc | 7618367087 | 37 |
Entity Name | Leonard Ellison Jr Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609821537 PECOS PAC ID: 2567412893 Enrollment ID: O20050125000603 |
Entity Name | Sciometrix Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619649894 PECOS PAC ID: 7618367087 Enrollment ID: O20211130000679 |
Entity Name | Visiting Physicians Of Detroit Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568185833 PECOS PAC ID: 4284001355 Enrollment ID: O20221102000783 |
Mailing Address | Practice Location Address |
---|---|
Dr Leonard Eugene Ellison Jr, MD 17330 Northland Park Ct, Southfield, MI 48075-4318 Ph: (248) 552-9500 | Dr Leonard Eugene Ellison Jr, MD 17330 Northland Park Ct, Southfield, MI 48075-4318 Ph: (248) 552-9500 |
Surinder Mendiratta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20905 Greenfield Rd, Suite 502, Southfield, MI 48075 Phone: 248-395-2888 Fax: 248-395-2891 | |
Dr. Freddy R Sosa, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Suite 703, Southfield, MI 48075 Phone: 248-569-1770 Fax: 248-443-2439 | |
Kun Kil Yu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19189 W 10 Mile Rd, Ste 200, Southfield, MI 48075 Phone: 248-948-7985 Fax: 248-948-9031 | |
Dr. Vilma Drelichman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075 Phone: 248-552-0620 Fax: 248-552-0286 | |
Dr. Sumner Camisa, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29829 Telegraph Road, #100, Southfield, MI 48034 Phone: 248-355-3033 Fax: 248-355-4936 | |
Talal Taher Khader, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 4th Fl Fisher Ctr, Southfield, MI 48075 Phone: 248-849-8483 | |
Dr. Herman Kado, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28625 Northwestern Hwy, Suite 150, Southfield, MI 48034 Phone: 248-587-2300 Fax: 248-945-0492 |