Dr Mahdi Basha, DO | |
33080 Utica Rd, Fraser, MI 48026-2038 | |
(586) 296-7250 | |
(586) 296-7256 |
Full Name | Dr Mahdi Basha |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 18 Years |
Location | 33080 Utica Rd, Fraser, 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 |
---|---|---|---|
1396900379 | NPI | - | NPPES |
05332224 | Medicaid | MS | |
2117700 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 5101016997 (Michigan) | Primary |
207W00000X | Ophthalmology | D0.000211 (Louisiana) | Secondary |
207W00000X | Ophthalmology | OT012221 (Pennsylvania) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Eye Care Provider Pllc | 1254611809 | 16 |
Entity Name | Michigan Eye Care Provider Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598151318 PECOS PAC ID: 1254611809 Enrollment ID: O20161216002192 |
Mailing Address | Practice Location Address |
---|---|
Dr Mahdi Basha, DO 6601 Inkster Rd, Bloomfield Hills, MI 48301-2823 Ph: (586) 296-7250 | Dr Mahdi Basha, DO 33080 Utica Rd, Fraser, MI 48026-2038 Ph: (586) 296-7250 |
James R Valice, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 33080 Utica Rd, Fraser, MI 48026 Phone: 586-296-7250 Fax: 586-296-0276 | |
Lucas Bonafede, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 33080 Utica Rd Ste B, Fraser, MI 48026 Phone: 586-296-7250 Fax: 586-296-0276 | |
Patrick M Verb, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 33080 Utica Rd, Fraser, MI 48026 Phone: 586-296-7250 Fax: 586-296-7256 |