Dr Mark Korea Banno, MD | |
27970 Orchard Lake Rd Ste 1, Farmington Hills Medical Group, Farmington Hills, MI 48334-3767 | |
(248) 626-1999 | |
(248) 626-7555 |
Full Name | Dr Mark Korea Banno |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 46 Years |
Location | 27970 Orchard Lake Rd Ste 1, Farmington Hills, 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 |
---|---|---|---|
1669600219 | NPI | - | NPPES |
0P33970011 | Other | MI | MEDICARE P-TAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301094195 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Beaumont Hospital - Farmington Hills | Farmington hills, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Medical Group Michigan | 0648180406 | 95 |
Entity Name | Ascension Medical Group Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730117805 PECOS PAC ID: 0648180406 Enrollment ID: O20060803000400 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Korea Banno, MD 27970 Orchard Lake Rd Ste 1, Farmington Hills Medical Group, Farmington Hills, MI 48334-3767 Ph: (248) 626-1999 | Dr Mark Korea Banno, MD 27970 Orchard Lake Rd Ste 1, Farmington Hills Medical Group, Farmington Hills, MI 48334-3767 Ph: (248) 626-1999 |
Dr. Randall T Wurtz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 23800 Orchard Lake Rd, Ste 100, Farmington Hills, MI 48336 Phone: 248-476-2420 Fax: 248-476-9709 | |
Lauren Noel Cole, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 28100 Grand River Ave Ste 313, Farmington Hills, MI 48336 Phone: 947-521-7150 | |
Saniya Jain, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 28100 Grand River Ave, Suite 313, Farmington Hills, MI 48336 Phone: 947-521-7150 | |
Dr. Joanne Louise Mckune, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36253 Old Homestead Dr, Farmington Hills, MI 48335 Phone: 248-477-1433 | |
Matthew John Sebastian, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28100 Grand River Ave Ste 313, Farmington Hills, MI 48336 Phone: 947-521-7150 Fax: 248-426-2473 | |
Mira Hamame, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 29645 W 14 Mile Rd Ste 110, Farmington Hills, MI 48334 Phone: 248-254-6000 Fax: 248-254-6001 | |
Marisa Burla, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28100 Grand River Ave, Suite 313 South, Farmington Hills, MI 48336 Phone: 248-615-7150 Fax: 248-426-2473 |