Dr Lisa Renee Haston-fuller, DO | |
9315 Telegraph Rd, Redford, MI 48239 | |
(313) 450-4500 | |
(313) 450-4514 |
Full Name | Dr Lisa Renee Haston-fuller |
---|---|
Gender | Female |
Speciality | Geriatric Psychiatry |
Experience | 35 Years |
Location | 9315 Telegraph Rd, Redford, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831298397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 5101011198 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
County Of Macomb | 4880581404 | 62 |
Entity Name | County Of Macomb |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942532197 PECOS PAC ID: 4880581404 Enrollment ID: O20040301000018 |
Entity Name | Neighborhood Service Organization |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891825808 PECOS PAC ID: 7113907387 Enrollment ID: O20040720001455 |
Entity Name | Consumer Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306876735 PECOS PAC ID: 0840214789 Enrollment ID: O20060119000030 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Renee Haston-fuller, DO Po Box 401259, Redford, MI 48240-9259 Ph: (248) 557-4999 | Dr Lisa Renee Haston-fuller, DO 9315 Telegraph Rd, Redford, MI 48239 Ph: (313) 450-4500 |
Dr. Ismath Khan, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9315 Telegraph, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4500 | |
Dr. Mohamed Siddique, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9315 Telegraph, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4514 | |
Dr. Sushila Aggarwal, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9315 Telegraph, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4514 | |
Dr. Hyun Shin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4512 | |
Dr. Rokeya Muhaimeen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9315 Telegraph, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4514 | |
Dr. Prasad G Sripada, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4512 | |
Asha Jain, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4514 |