Dr Robert A Fishman, MD | |
21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | |
(586) 779-7610 | |
Not Available |
Full Name | Dr Robert A Fishman |
---|---|
Gender | Male |
Speciality | Otolaryngology - Pediatric Otolaryngology |
Location | 21000 E 12 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 |
---|---|---|---|
1881786341 | NPI | - | NPPES |
040E06192 | Other | MI | BLUE SHIELD GROUP |
0500323 | Other | BLUE CARE NETWORK | |
2326702002 | Other | CIGNA | |
1433910 | Medicaid | MI | |
44033233 | Other | AETNA | |
040008563 | Other | RAILROAD MEDICARE | |
C5083 | Other | MCAR | |
101764 | Other | CARE CHOICES | |
103994 | Other | GREAT LAKES HEALTH | |
D91373 | Other | HEALTH ALLIANCE PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | RF041043 (Michigan) | Secondary |
207YP0228X | Otolaryngology - Pediatric Otolaryngology | RF041043 (Michigan) | Primary |
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 Robert A Fishman, MD 21000 E 12 Mile Rd, Ste 111, St Clair Shores, MI 48081 Ph: (586) 779-7610 | Dr Robert A Fishman, 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. Michael S Fozo, 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. 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 |