Dr Paul Padesky, MD | |
20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080-1775 | |
(586) 772-1090 | |
Not Available |
Full Name | Dr Paul Padesky |
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Gender | Male |
Speciality | Pediatrics |
Location | 20225 E 9 Mile Rd, Saint Clair Shores, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1346504438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 4301101476 (Michigan) | Primary |
Entity Name | Ascension Michigan-cmg |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851765374 PECOS PAC ID: 7517162761 Enrollment ID: O20160127001523 |
Mailing Address | Practice Location Address |
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Dr Paul Padesky, MD 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080-1775 Ph: (586) 772-1090 | Dr Paul Padesky, MD 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080-1775 Ph: (586) 772-1090 |
Rubin Peter Gappy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080 Phone: 586-772-1090 Fax: 586-772-4366 | |
Giuseppina Lombardo Naughton, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080 Phone: 586-772-1090 Fax: 586-772-4366 | |
David Walter Kroll, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080 Phone: 586-772-1090 Fax: 586-772-4366 | |
Kendra Helene Motyl, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 20225 E 9 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-772-1090 Fax: 586-772-4366 | |
Elizabeth Anne Hall, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 21931 E 9 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-443-4950 Fax: 586-443-4980 | |
Lorraine Armstrong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22656 Wildwood St, Saint Clair Shores, MI 48081 Phone: 419-283-4778 |