Jacqueline K Macknis, MD | |
3601 W 13 Mile Rd, Royal Oak, MI 48073-6769 | |
(248) 423-3144 | |
Not Available |
Full Name | Jacqueline K Macknis |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 28 Years |
Location | 3601 W 13 Mile Rd, Royal Oak, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336109438 | NPI | - | NPPES |
220F349850 | Other | MI | BCBSM |
4634690 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | 4301067705 (Michigan) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301067705 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Beaumont Hospital, Troy | Troy, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaumont Medical Group Hospital Based Services | 3072875889 | 464 |
Entity Name | Beaumont Medical Group Hospital Based Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline K Macknis, MD 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073-6769 Ph: (248) 898-5969 | Jacqueline K Macknis, MD 3601 W 13 Mile Rd, Royal Oak, MI 48073-6769 Ph: (248) 423-3144 |
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 |