Dr Michael Pauly Petrich, MD | |
18101 Oakwood Blvd, Dearborn, MI 48124-4089 | |
(313) 436-2583 | |
(313) 436-2809 |
Full Name | Dr Michael Pauly Petrich |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 21 Years |
Location | 18101 Oakwood Blvd, Dearborn, 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 |
---|---|---|---|
1669664173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301084289 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Karmanos Cancer Center | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Barbara Ann Karmanos Cancer Institute | 3870407901 | 40 |
Entity Name | Mclaren Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
Entity Name | Barbara Ann Karmanos Cancer Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225022288 PECOS PAC ID: 3870407901 Enrollment ID: O20031113000601 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Pauly Petrich, MD 18060 Snow Road, Dearborn, MI 48124 Ph: (313) 436-2583 | Dr Michael Pauly Petrich, MD 18101 Oakwood Blvd, Dearborn, MI 48124-4089 Ph: (313) 436-2583 |
Frankju A Arevalo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Dr. Rohan Lalith Deraniyagala, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 248-551-5490 | |
Jerry W Drake, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Hassan Hamadi, DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Joon K Kim, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Jeffery Michael Holton, MD Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Gme Office, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Michael Walter Ramalia Jr., DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 |