Justin Patrick Mitchelson, MD | |
468 Cadieux Rd, Beaumont Hospital - Grosse Pointe, Grosse Pointe, MI 48230-1507 | |
(313) 473-1605 | |
(313) 473-1934 |
Full Name | Justin Patrick Mitchelson |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 468 Cadieux Rd, Grosse Pointe, 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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1598994139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | 4301111177 (Michigan) | Primary |
207P00000X | Emergency Medicine | R71686 (Arizona) | Secondary |
Entity Name | Beaumont Medical Group Hospital Based Services |
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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 |
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Justin Patrick Mitchelson, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Justin Patrick Mitchelson, MD 468 Cadieux Rd, Beaumont Hospital - Grosse Pointe, Grosse Pointe, MI 48230-1507 Ph: (313) 473-1605 |
Dr. Brian Matthew Dimmer, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1605 | |
Edward J Jelonek Jr., DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 159 Kercheval Ave., Grosse Pointe, MI 48236 Phone: 313-640-2300 | |
David R Schleif, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1605 Fax: 313-473-1934 | |
Dr. Liza Kamal Khalil, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1605 Fax: 313-473-1934 | |
Dr. Jon Spyridakis I, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1605 | |
Dr. Maisa Teff, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1605 | |
Steven D Sandubrae, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 159 Kercheval Ave., Grosse Pointe, MI 48236 Phone: 313-640-2300 |