George Boris Mychaliska, MD | |
1500 E Medical Center Dr Fl 4, Ann Arbor, MI 48109-5000 | |
(734) 936-4000 | |
Not Available |
Full Name | George Boris Mychaliska |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 1500 E Medical Center Dr Fl 4, Ann Arbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881796118 | NPI | - | NPPES |
4677482 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301074649 (Michigan) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 4301074649 (Michigan) | Primary |
Entity Name | Regents Of The University Of Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325 |
Entity Name | Hurley Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982630844 PECOS PAC ID: 2961308481 Enrollment ID: O20031208000375 |
Entity Name | Edward W Sparrow Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831139088 PECOS PAC ID: 6709799166 Enrollment ID: O20040102000790 |
Entity Name | St Joseph Mercy Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659499705 PECOS PAC ID: 3779489281 Enrollment ID: O20040226001002 |
Entity Name | Sjmh Medical Practice-smhc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346284684 PECOS PAC ID: 8628965175 Enrollment ID: O20040301000770 |
Mailing Address | Practice Location Address |
---|---|
George Boris Mychaliska, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | George Boris Mychaliska, MD 1500 E Medical Center Dr Fl 4, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000 |
John C Magee, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Steven W Bruch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Dr., 4th Floor, C.s. Mott Children's Hospital, Ann Arbor, MI 48109 Phone: 734-764-4151 | |
Eiichi A Miyasaka, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Department Of Surgery, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Nathan Louras, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Robert J Beaulieu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Meredith Barrett, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Dr. Chandu Vemuri, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 |