Justin Elijah Trivax, MD | |
31500 Telegraph Rd, Suite 115, Bingham Farms, MI 48025-4367 | |
(248) 594-4913 | |
(248) 594-4928 |
Full Name | Justin Elijah Trivax |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 21 Years |
Location | 31500 Telegraph Rd, Bingham Farms, 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 |
---|---|---|---|
1174566095 | NPI | - | NPPES |
1174566095 | Medicaid | MI | |
700H273300 | Other | MI | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301081886 (Michigan) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 4301081886 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Beaumont Hospital, Troy | Troy, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Healthcare Professionals Pc | 0345413258 | 451 |
Atria Vascular And Vein, Pllc | 1850701616 | 3 |
Omg 1pc | 4183536238 | 17 |
Entity Name | Mmg 1 Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912933540 PECOS PAC ID: 6103738638 Enrollment ID: O20031104000106 |
Entity Name | Ascension Macomb Oakland Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518124320 PECOS PAC ID: 7315859725 Enrollment ID: O20031104000571 |
Entity Name | Omg 1pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891737466 PECOS PAC ID: 4183536238 Enrollment ID: O20031105000645 |
Entity Name | Michigan Healthcare Professionals Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
Entity Name | Limb Preservation Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295223998 PECOS PAC ID: 2365783370 Enrollment ID: O20190401000238 |
Entity Name | Atria Vascular & Vein, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902413891 PECOS PAC ID: 1850701616 Enrollment ID: O20201105001693 |
Mailing Address | Practice Location Address |
---|---|
Justin Elijah Trivax, MD 29992 Northwestern Hwy, Suite C, Farmington Hills, MI 48334-3292 Ph: (248) 851-1430 | Justin Elijah Trivax, MD 31500 Telegraph Rd, Suite 115, Bingham Farms, MI 48025-4367 Ph: (248) 594-4913 |
Dr. Patricia Ann Schmidt, D.O. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 30400 Telegraph Rd, Suite 334, Bingham Farms, MI 48025 Phone: 800-311-5365 Fax: 248-681-8927 | |
Rushdah Saeed Malik, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 31500 Telegraph Rd, Ste 225, Bingham Farms, MI 48025 Phone: 248-552-0620 Fax: 248-530-9899 | |
Ms. Elizabeth J Stellema, NP-C Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 30800 Telegraph Rd, Bingham Farms, MI 48025 Phone: 248-347-9437 | |
Dr. Judith L Bateman, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 32270 Telegraph Rd, Suite 120, Bingham Farms, MI 48025 Phone: 248-646-1965 Fax: 248-646-7293 | |
Dr. Steven M Korotkin, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 32270 Telegraph Rd, Ste 100, Bingham Farms, MI 48025 Phone: 248-258-2888 Fax: 248-258-6849 | |
David Wolf, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 31500 Telegraph Rd, Ste 230, Bingham Farms, MI 48025 Phone: 248-593-9933 Fax: 248-593-5658 |