Jordan Bushman, MD | |
28100 Grand River Ave Ste 314, Farmington Hills, MI 48336-5970 | |
(947) 521-1549 | |
(248) 478-1827 |
Full Name | Jordan Bushman |
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Gender | Male |
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 28100 Grand River Ave Ste 314, 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 |
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1679003941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 4301112922 (Michigan) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 4301507464 (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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Jordan Bushman, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Jordan Bushman, MD 28100 Grand River Ave Ste 314, Farmington Hills, MI 48336-5970 Ph: (947) 521-1549 |
Kali Allis, Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-417-8000 | |
Dr. Jyothsna Yalavarthi, MD Endocrinology, Diabetes & Metabolism 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. Endocrinology, Diabetes & Metabolism 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 Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 23133 Orchard Lake Rd Ste 200, Farmington Hills, MI 48336 Phone: 248-579-9220 | |
Justin Cykiert, Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-615-0777 | |
Larry A Wickless, M.D. Endocrinology, Diabetes & Metabolism 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 Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 |