Jennifer Marie Rathousky, DO | |
11885 E 12 Mile Rd Ste 300a, Warren, MI 48093-3467 | |
(586) 582-6630 | |
(586) 582-6631 |
Full Name | Jennifer Marie Rathousky |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 14 Years |
Location | 11885 E 12 Mile Rd Ste 300a, Warren, 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 |
---|---|---|---|
1265881528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 67219 (Minnesota) | Secondary |
207R00000X | Internal Medicine | 5101022634 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Healtheast St John's Hospital | Maplewood, MN | Hospital |
Healtheast Woodwinds Hospital | Woodbury, MN | Hospital |
Fairview Southdale Hospital | Edina, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Health Services | 1951213057 | 539 |
Healtheast Medical Research Institute | 3971407636 | 517 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Healtheast Medical Research Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Marie Rathousky, DO 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093-3467 Ph: (586) 582-6630 | Jennifer Marie Rathousky, DO 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093-3467 Ph: (586) 582-6630 |
Rachel Marie Koch, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631 | |
Jon Whitman Mackey, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631 | |
Dr. Martin Irvin Schock, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11885 E 12 Mile Rd, Suite 100a, Warren, MI 48093 Phone: 586-576-1615 Fax: 586-576-1628 | |
Salim Meram, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11900 E 12 Mile Rd, Suite 100, Warren, MI 48093 Phone: 586-573-5890 Fax: 586-573-5525 | |
Larry B Tankanow, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 27472 Schoenherr Rd Ste 100, Warren, MI 48088 Phone: 586-751-8844 Fax: 586-751-8596 | |
Leslie Adele Scott, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631 | |
Farah Kirma Salem, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28111 Hoover Rd Ste 5a, Warren, MI 48093 Phone: 586-578-9606 Fax: 586-578-9806 |