Dr Lydia Joy Donoghue, MD | |
3901 Beaubien St, Dept Of Pediatric Surgery, Detroit, MI 48201-2119 | |
(313) 831-3220 | |
(313) 745-0747 |
Full Name | Dr Lydia Joy Donoghue |
---|---|
Gender | Female |
Speciality | Surgery - Pediatric Surgery |
Location | 3901 Beaubien St, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730324096 | NPI | - | NPPES |
00000674254 | Other | OH | ANTHEM |
07021 | Other | OH | PARAMOUNT |
3044351 | Medicaid | OH | |
9244570 | Other | OH | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 35095454 (Ohio) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 4301077977 (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 | Michigan Pediatric Surgery Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396817714 PECOS PAC ID: 1254238165 Enrollment ID: O20031218000155 |
Mailing Address | Practice Location Address |
---|---|
Dr Lydia Joy Donoghue, MD 8234 John R, Detroit, MI 48202-2506 Ph: (248) 219-5620 | Dr Lydia Joy Donoghue, MD 3901 Beaubien St, Dept Of Pediatric Surgery, Detroit, MI 48201-2119 Ph: (313) 831-3220 |
Kaitlyn Dobesh, MD Surgery Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Bellal Ali Joseph, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3056 Fax: 313-916-9920 | |
Charles Edward Lucas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4160 John R St, Suite 615, Detroit, MI 48201 Phone: 313-745-4195 Fax: 313-993-8669 | |
Christopher Paul Cassell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 | |
Mitchell Ross Weaver, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3156 Fax: 313-916-3023 | |
Alexander Marinica, Surgery Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr Ste 121, Detroit, MI 48235 Phone: 313-966-3222 | |
Dr. Rachel Wobig, MD Surgery Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-5071 Fax: 313-916-9920 |