Timothy Raymond Kennedy, MD | |
3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | |
(248) 898-9060 | |
(248) 898-9054 |
Full Name | Timothy Raymond Kennedy |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 36 Years |
Location | 3601 W 13 Mile Rd, Royal Oak, 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 |
---|---|---|---|
1356311955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301059256 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Huron Valley-sinai Hospital | Commerce township, MI | Hospital |
Harper University Hospital | Detroit, MI | Hospital |
Karmanos Cancer Center | Detroit, MI | Hospital |
Sinai-grace Hospital | Detroit, MI | Hospital |
Detroit Receiving Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Physician Group | 8628087681 | 341 |
Entity Name | University Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
Mailing Address | Practice Location Address |
---|---|
Timothy Raymond Kennedy, MD 26901 Beaumont Blvd Suite 3d, Southfield, MI 48033-3849 Ph: (947) 522-1860 | Timothy Raymond Kennedy, MD 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 898-9060 |
Dr. Aparna Hariharan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-9060 Fax: 248-551-0557 | |
Dr. Barbara Ducatman, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-9060 Fax: 248-898-9054 | |
Ryan Johnson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-9060 | |
Christopher Thorburn, MD Pathology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Beaumont Hospital Gme Office, Royal Oak, MI 48073 Phone: 248-898-4462 | |
Osama M. Alassi, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-9060 Fax: 248-898-9054 | |
Dr. Ying Li, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-9060 | |
Domnita Crisan, Pathology Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-7261 |