Jerald W Henry, MD | |
468 Cadieux Road, Grosse Pointe, MI 48230 | |
(313) 343-1630 | |
(313) 343-1665 |
Full Name | Jerald W Henry |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 26 Years |
Location | 468 Cadieux Road, Grosse Pointe, 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 |
---|---|---|---|
1851359160 | NPI | - | NPPES |
CB6220 | Other | MI | MEDICARE RR GROUP PIN |
310H249790 | Other | MI | BCBS GROUP PIN |
P00063375 | Other | MI | MEDICARE RR IND PIN |
4536143 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301072837 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
Ascension St John Hospital | Detroit, 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 |
---|---|
Jerald W Henry, MD Po Box 1108, Attn:barb Simmons, Ann Arbor, MI 48106-1108 Ph: (313) 343-1630 | Jerald W Henry, MD 468 Cadieux Road, Grosse Pointe, MI 48230 Ph: (313) 343-1630 |
Alton Garfield Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Road, Grosse Pointe, MI 48230 Phone: 313-343-1630 Fax: 313-343-1665 | |
Thomas Edward Barbieri, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Road, Grosse Pointe, MI 48230 Phone: 313-343-1630 Fax: 313-343-1665 | |
Dr. Louis Aurelio Furicchia, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 919 Rivard Blvd, Grosse Pointe, MI 48230 Phone: 313-821-1815 Fax: 313-821-1816 | |
John G Makris, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-343-1000 Fax: 313-343-1665 | |
David S Harnadek, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 468 Cadleux Road, Grosse Pointe, MI 48230 Phone: 313-343-1630 Fax: 313-343-1665 | |
Arun G Patel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1833 Fax: 313-473-1833 |