Jeffrey Daniel Budzyn, MD | |
20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 | |
(586) 771-4820 | |
(586) 771-6620 |
Full Name | Jeffrey Daniel Budzyn |
---|---|
Gender | Male |
Speciality | Urology |
Location | 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356874317 | NPI | - | NPPES |
4301509333 | Other | MI | MICHIGAN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | A176807 (California) | Primary |
Entity Name | Usc Care Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Daniel Budzyn, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 276-3707 | Jeffrey Daniel Budzyn, MD 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 Ph: (586) 771-4820 |
Dr. Robert Lewis Elgin, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
Scott Wilkinson, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
Dr. Scott I Sircus, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
Dr. Zachary Jonathan Liss, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081 Phone: 586-771-4820 | |
Dr. Stephen A Stuppler, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 |