Dr Patrick R Brennan, DO | |
22024 Pontiac Trl, South Lyon, MI 48178-9410 | |
(248) 437-2525 | |
(248) 437-2526 |
Full Name | Dr Patrick R Brennan |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 22024 Pontiac Trl, South Lyon, 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 |
---|---|---|---|
1770582793 | NPI | - | NPPES |
7323572 | Other | MI | AETNA |
5631170 | Other | MI | BLUE CROSS PROVIDER I.D. |
139314 | Other | MI | PREFERRED CHOICE |
139314 | Other | MI | CARE CHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | PB5101014989 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vmd Primary Providers Eastern Michigan Pc | 9234480575 | 62 |
Entity Name | Envision Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578891750 PECOS PAC ID: 0840315867 Enrollment ID: O20101006000393 |
Entity Name | Vmd Primary Providers Eastern Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336625540 PECOS PAC ID: 9234480575 Enrollment ID: O20180925002900 |
Mailing Address | Practice Location Address |
---|---|
Dr Patrick R Brennan, DO 22024 Pontiac Trl, South Lyon, MI 48178-9410 Ph: (248) 437-2525 | Dr Patrick R Brennan, DO 22024 Pontiac Trl, South Lyon, MI 48178-9410 Ph: (248) 437-2525 |
Dr. Steve Sungmin Kim, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 210 N Lafayette St, South Lyon, MI 48178 Phone: 248-437-1744 | |
Promita Roychoudhury, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 N Lafayette, South Lyon, MI 48178 Phone: 248-437-1744 Fax: 248-446-2420 | |
Dr. Kyle M Samyn, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 22024 Pontiac Trl, South Lyon, MI 48178 Phone: 248-437-2525 | |
Dr. Michael Samir Matar, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 N Lafayette Street, South Lyon, MI 48178 Phone: 248-437-1744 | |
Dr. Shylaja Gontina-khatiwala, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9600 N Rushton Rd, South Lyon, MI 48178 Phone: 248-721-1510 | |
Lauren H. Groskaufmanis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 N Lafayette St, South Lyon, MI 48178 Phone: 248-437-1744 Fax: 248-437-3245 | |
Cherolee Rickey Trembath, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 N Lafayette St, South Lyon, MI 48178 Phone: 248-437-1744 Fax: 248-437-3245 |