Dr Marissa Elizabeth Baca, MD | |
32000 Telegraph Rd, Bingham Farms, MI 48025-2442 | |
(248) 270-5272 | |
(248) 647-1799 |
Full Name | Dr Marissa Elizabeth Baca |
---|---|
Gender | Female |
Speciality | Plastic Surgery |
Location | 32000 Telegraph Rd, Bingham Farms, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770847667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 4301100856 (Michigan) | Primary |
Entity Name | Forefront Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912347923 PECOS PAC ID: 3779471701 Enrollment ID: O20131025001403 |
Entity Name | Pinnacle Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861930984 PECOS PAC ID: 8628353380 Enrollment ID: O20181008002699 |
Mailing Address | Practice Location Address |
---|---|
Dr Marissa Elizabeth Baca, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Dr Marissa Elizabeth Baca, MD 32000 Telegraph Rd, Bingham Farms, MI 48025-2442 Ph: (248) 270-5272 |
Dr. Enrique Sabbagh, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 32000 Telegraph Rd, Bingham Farms, MI 48025 Phone: 248-647-5800 | |
Dr. Raymond T Hajjar Jr., D.O. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 31100 Telegraph Rd, Ste 280, Bingham Farms, MI 48025 Phone: 248-208-8844 Fax: 248-208-1750 | |
Dr. Christopher Robert Lumley, D.O. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 31100 Telegraph Rd, Suite 280, Bingham Farms, MI 48025 Phone: 248-208-8844 | |
Dr. William Henry Sabbagh, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 32000 Telegraph Rd, Bingham Farms, MI 48025 Phone: 248-647-5800 | |
Dr. Lawrence Tong, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 32000 Telegraph Rd, Bingham Farms, MI 48025 Phone: 248-647-5800 |