Kenneth Bishop, | |
44201 Dequindre Rd, Troy, MI 48085-1117 | |
(248) 964-4044 | |
Not Available |
Full Name | Kenneth Bishop |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 26 Years |
Location | 44201 Dequindre Rd, Troy, 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 |
---|---|---|---|
1407815681 | NPI | - | NPPES |
010F362460 | Other | MI | BCBSM |
4435982 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101013989 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital, Troy | Troy, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaumont Medical Group Hospital Based Services | 3072875889 | 464 |
Entity Name | Beaumont Medical Group Hospital Based Services |
---|---|
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 |
---|---|
Kenneth Bishop, 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1865 | Kenneth Bishop, 44201 Dequindre Rd, Troy, MI 48085-1117 Ph: (248) 964-4044 |
David Donaldson, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Ec, Troy, MI 48085 Phone: 248-964-8787 | |
Philip O Kilanowski-doroh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5111 | |
Matthew Christensen, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd Ste Ec, Troy, MI 48085 Phone: 248-964-5111 | |
Rebecca Gorz, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5111 | |
Cristina Geneva Bruno, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5000 | |
Adam Sylvester Kur Iii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre Rd, Ec, Troy, MI 48085 Phone: 248-964-5000 | |
Stephen M. Smith, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd Ste Ec, Troy, MI 48085 Phone: 248-964-5111 |