Elizabeth Bascom, MD | |
17717 Masonic, Fraser, MI 48026-3158 | |
(586) 294-0600 | |
Not Available |
Full Name | Elizabeth Bascom |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 17717 Masonic, Fraser, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215977343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301078414 (Michigan) | Primary |
Entity Name | Emergency Department Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466 |
Entity Name | Observation Emergency Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Bascom, MD 17717 Masonic, Fraser, MI 48026-3158 Ph: (586) 294-0600 | Elizabeth Bascom, MD 17717 Masonic, Fraser, MI 48026-3158 Ph: (586) 294-0600 |
Jodi Ralston, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 | |
Daniel Wilkerson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 | |
Simon Katrib, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 | |
Dr. Ross Heller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 | |
Dr. Chad Michael Kovala, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 Fax: 586-294-2525 | |
Thaddeus Gasowski, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 |