Kenneth J Moquin, MD | |
Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | |
(313) 916-2436 | |
Not Available |
Full Name | Kenneth J Moquin |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 30 Years |
Location | Henry Ford Health System, Detroit, 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 |
---|---|---|---|
1124181755 | NPI | - | NPPES |
KM063210 | Other | CHAMPUS-CHAMPUS | |
KM063210 | Other | COMMERCIAL-COMMERCIAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 4301063210 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henry Ford Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Henry Ford Medical Group | 0547178311 | 2124 |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Mailing Address | Practice Location Address |
---|---|
Kenneth J Moquin, MD Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Ph: (313) 916-2436 | Kenneth J Moquin, MD Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Ph: (313) 916-2436 |
Aamir Siddiqui, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Jamie Marie Dilauro Hall, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Guillermina Nava, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4160 John R St, Suite 615, Detroit, MI 48201 Phone: 313-745-4195 Fax: 313-993-8669 | |
Dr. Faisal M Almufarrej, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-0247 Fax: 313-993-8783 | |
Donna G. Tepper, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-9106 Fax: 313-916-1249 | |
Herman P. Houin, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 |