Dr Michael S Fozo, MD | |
21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | |
(586) 779-7610 | |
Not Available |
Full Name | Dr Michael S Fozo |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 27 Years |
Location | 21000 E 12 Mile Rd, Saint Clair Shores, 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 |
---|---|---|---|
1114019627 | NPI | - | NPPES |
4339229 | Other | AETNA | |
H68407 | Other | HEALTH ALLIANCE PLAN | |
0501379 | Other | BLUE CARE NETWORK | |
4505853 | Medicaid | MI | |
136815 | Other | CARE CHOICES | |
P00014677 | Other | RAILROAD MEDICARE | |
141736 | Other | GREAT LAKES HEALTH PLAN | |
16056 | Other | MCAR | |
6029816 | Other | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | MF075562 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St John Hospital | Detroit, MI | Hospital |
Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension St John Hospital | 3173424082 | 279 |
Lakeshore Ear Nose And Throat Center Pc | 7315928934 | 9 |
Entity Name | Ascension Medical Group Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942317631 PECOS PAC ID: 0648180406 Enrollment ID: O20031113000362 |
Entity Name | Ascension St John Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
Entity Name | Lakeshore Ear Nose And Throat Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285803346 PECOS PAC ID: 7315928934 Enrollment ID: O20040528000112 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael S Fozo, MD 21000 E 12 Mile Rd, Ste 111, St Clair Shores, MI 48081 Ph: (586) 779-7610 | Dr Michael S Fozo, MD 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 Ph: (586) 779-7610 |
Dr. Douglas Carl Kubek, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-1391 | |
Dr. Andrew Bennett Sewell, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-0031 | |
Dr. Andrew I. Dzul, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 | |
Dr. Adam D Rubin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 | |
Dr. Robert E Brammer, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 | |
Cameron M Heilbronn, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-7882 |