Juan Rene Frontera, MD | |
20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 | |
(586) 771-4820 | |
(586) 771-6620 |
Full Name | Juan Rene Frontera |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 39 Years |
Location | 20952 E 12 Mile Rd, St Clair Shores, 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 |
---|---|---|---|
1679538904 | NPI | - | NPPES |
F10966 | Other | MI | HAP |
132311 | Other | MI | PRIORITY HEALTH |
5733698 | Other | MI | AETNA |
3235841007 | Other | MI | CIGNA |
340019038 | Other | MI | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 4301053764 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
Ascension Providence - Crittenton Hospital Medical Center | Rochester, MI | Hospital |
Ascension St John Hospital | Detroit, MI | Hospital |
Beaumont Hospital, Troy | Troy, MI | Hospital |
Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Institute Of Urology Pc | 1052223492 | 75 |
Entity Name | Michigan Institute Of Urology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427027416 PECOS PAC ID: 1052223492 Enrollment ID: O20031125000770 |
Mailing Address | Practice Location Address |
---|---|
Juan Rene Frontera, MD 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 Ph: (586) 771-4820 | Juan Rene Frontera, MD 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 Ph: (586) 771-4820 |
Brian V Guz, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
Alphonse M Santino, MD Urology Medicare: Medicare Enrolled Practice Location: 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
James J Boutrous, MD Urology Medicare: Medicare Enrolled Practice Location: 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
Shiva J Maralani, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
Valal K George, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
Edward W Schervish, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 |