Jeffrey Louis Provizer, DO | |
32255 Northwestern Hwy Ste 130, Farmington Hills, MI 48334 | |
(248) 723-5880 | |
(248) 723-5889 |
Full Name | Jeffrey Louis Provizer |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 28 Years |
Location | 32255 Northwestern Hwy Ste 130, Farmington Hills, 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 |
---|---|---|---|
1316931405 | NPI | - | NPPES |
1316931405 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101013058 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Healthcare Professionals Pc | 0345413258 | 451 |
Entity Name | Michigan Healthcare Professionals Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Louis Provizer, DO 29992 Northwestern Hwy Ste C, Farmington Hills, MI 48334-3292 Ph: (248) 851-1430 | Jeffrey Louis Provizer, DO 32255 Northwestern Hwy Ste 130, Farmington Hills, MI 48334 Ph: (248) 723-5880 |
Dr. Randall T Wurtz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 23800 Orchard Lake Rd, Ste 100, Farmington Hills, MI 48336 Phone: 248-476-2420 Fax: 248-476-9709 | |
Lauren Noel Cole, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 28100 Grand River Ave Ste 313, Farmington Hills, MI 48336 Phone: 947-521-7150 | |
Saniya Jain, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 28100 Grand River Ave, Suite 313, Farmington Hills, MI 48336 Phone: 947-521-7150 | |
Dr. Joanne Louise Mckune, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36253 Old Homestead Dr, Farmington Hills, MI 48335 Phone: 248-477-1433 | |
Matthew John Sebastian, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28100 Grand River Ave Ste 313, Farmington Hills, MI 48336 Phone: 947-521-7150 Fax: 248-426-2473 | |
Mira Hamame, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 29645 W 14 Mile Rd Ste 110, Farmington Hills, MI 48334 Phone: 248-254-6000 Fax: 248-254-6001 | |
Marisa Burla, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28100 Grand River Ave, Suite 313 South, Farmington Hills, MI 48336 Phone: 248-615-7150 Fax: 248-426-2473 |