Dr Shawn Jeffrey Moulder, DO | |
18101 Oakwood Blvd, Dearborn, MI 48124-4089 | |
(313) 593-7000 | |
Not Available |
Full Name | Dr Shawn Jeffrey Moulder |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 9 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 |
---|---|---|---|
1770964496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 5101022023 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hca Houston Healthcare Clear Lake | Webster, TX | Hospital |
Research Medical Center | Kansas city, MO | Hospital |
Corpus Christi Medical Center,the | Corpus christi, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Urgent Specialty Associates Of Texas Pllc | 6507258209 | 51 |
Urgent Specialty Associates Of Missouri Llc | 2860874831 | 19 |
Entity Name | Urgent Specialty Associates Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790350445 PECOS PAC ID: 6507258209 Enrollment ID: O20220107002070 |
Mailing Address | Practice Location Address |
---|---|
Dr Shawn Jeffrey Moulder, DO 19756 S Glen Blvd, Apt C, Brownstown Twp, MI 48183-4928 Ph: (573) 280-7022 | Dr Shawn Jeffrey Moulder, DO 18101 Oakwood Blvd, Dearborn, MI 48124-4089 Ph: (313) 593-7000 |
John J Fath, MD Surgery Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-982-5440 | |
Shawn Cuyler Dowling, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 18181 Oakwood Blvd Ste 212, Dearborn, MI 48124 Phone: 313-438-7397 | |
Erik Rafael Gamarra, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-8660 | |
Guat Sia Sy Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 17000 Hubbard Dr, Suite 700, Dearborn, MI 48126 Phone: 313-271-2990 Fax: 313-271-1698 | |
Zachary Fent, DO, MS Surgery Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Daniel Rebock, DO Surgery Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Yue Chin, DO Surgery Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 |