Jennifer B Mitsuya, DO | |
3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073 | |
(248) 551-0487 | |
(248) 551-3696 |
Full Name | Jennifer B Mitsuya |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 3535 W 13 Mile Rd Ste 707, Royal Oak, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1336405554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080P0206X | Pediatrics - Pediatric Gastroenterology | 5101019846 (Michigan) | Primary |
Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
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Jennifer B Mitsuya, DO 26901 Beaumont Boulevard, Southfield, MI 48033 Ph: (947) 522-1858 | Jennifer B Mitsuya, DO 3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073 Ph: (248) 551-0487 |
Melissa Joy Drewry, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Dr. Jamal Kriem, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073 Phone: 248-551-0487 Fax: 248-551-3696 | |
Elliott Weinhouse, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3535 W 13 Mile Rd Ste 108, Royal Oak, MI 48073 Phone: 248-551-2900 Fax: 248-551-0800 | |
Dr. Evelyn J Brito, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-2047 Fax: 248-551-2092 | |
Hannah Gadway, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 W Thirteen Mile Rd, Gme Offic, Royal Oak, MI 48073 Phone: 248-551-6489 | |
Dr. Nicole R Peltz, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27332 Woodward Ave, Ste 100, Royal Oak, MI 48067 Phone: 248-543-1545 Fax: 248-543-8638 | |
Varsha Ganesh Deshmukh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-2454 |