Dr Thomas J Ditkoff, MD | |
26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2601 | |
(248) 663-1900 | |
(248) 663-1902 |
Full Name | Dr Thomas J Ditkoff |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 26025 Lahser Rd, Southfield, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497736771 | NPI | - | NPPES |
2751179 | Medicaid | MI | |
0F31114 | Other | MI | BCBS |
0767220001 | Other | MI | ADMINISTAR FEDERAL |
0F33583 | Other | MI | BCBS DME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 4301030676 (Michigan) | Primary |
Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas J Ditkoff, MD 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2601 Ph: (248) 663-1900 | Dr Thomas J Ditkoff, MD 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2601 Ph: (248) 663-1900 |
Jefferey E Michaelson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr, Suite 401, Southfield, MI 48075 Phone: 866-974-2673 Fax: 866-939-2673 | |
Dr. James J Verner, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033 Phone: 248-663-1900 Fax: 248-663-1902 | |
Dr. Daniel Park, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033 Phone: 248-663-1900 | |
Dr. Khalid Ibrahim Odeh, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 26025 Lahser Rd, Southfield, MI 48033 Phone: 248-755-2433 | |
Dr. Jad Georges Khalil, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033 Phone: 248-663-1900 Fax: 248-663-1901 | |
Dr. David J Collon, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033 Phone: 248-663-1900 Fax: 248-663-1902 | |
Dr. Paul S Shapiro, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033 Phone: 248-663-1900 Fax: 248-663-1902 |