Jerome Wilborn, MD | |
28050 Grand River Ave, Farmington Hills, MI 48336-5919 | |
(734) 464-0887 | |
(734) 402-0254 |
Full Name | Jerome Wilborn |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 28050 Grand River Ave, Farmington Hills, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750351516 | NPI | - | NPPES |
4637100 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301057004 (Michigan) | Primary |
Entity Name | Inpatient Consultants Of Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861442824 PECOS PAC ID: 6709891286 Enrollment ID: O20060221000260 |
Entity Name | Gaps Health Mi P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154943017 PECOS PAC ID: 6608297577 Enrollment ID: O20200601001823 |
Entity Name | Pai Participant 18 Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750988226 PECOS PAC ID: 6204256928 Enrollment ID: O20201020000124 |
Mailing Address | Practice Location Address |
---|---|
Jerome Wilborn, MD 36123 Schoolcraft Rd, Livonia, MI 48150-1216 Ph: (734) 464-0887 | Jerome Wilborn, MD 28050 Grand River Ave, Farmington Hills, MI 48336-5919 Ph: (734) 464-0887 |
Kali Allis, Internal Medicine Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-417-8000 | |
Dr. Jyothsna Yalavarthi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 734-464-0887 Fax: 734-402-0254 | |
Dr. Roberto Mauro Gamarra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30055 Northwestern Hwy, Suite 250, Farmington Hills, MI 48334 Phone: 248-985-5000 Fax: 248-985-5500 | |
Dr. Jared Grodman, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 23133 Orchard Lake Rd Ste 200, Farmington Hills, MI 48336 Phone: 248-579-9220 | |
Justin Cykiert, Internal Medicine Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-615-0777 | |
Larry A Wickless, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 28080 Grand River Ave, Suite 306, Farmington Hills, MI 48336 Phone: 248-471-8982 Fax: 248-426-7350 | |
Alabbas Alaamili, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 |