Kenneth J Pituch, MD | |
1500 East Medical Center Dr, 12th Floor Cs Mott Childrens Hospital Room 525, Ann Arbor, MI 48109-4280 | |
(734) 763-5302 | |
Not Available |
Full Name | Kenneth J Pituch |
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Gender | Male |
Speciality | Pediatrics |
Location | 1500 East Medical Center Dr, Ann Arbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457365595 | NPI | - | NPPES |
3150450 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301044959 (Michigan) | Primary |
208M00000X | Hospitalist | 4301044959 (Michigan) | Secondary |
Entity Name | Regents Of The University Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325 |
Entity Name | Regents Of The University Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003848144 PECOS PAC ID: 3779496856 Enrollment ID: O20031121000236 |
Mailing Address | Practice Location Address |
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Kenneth J Pituch, MD 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 Ph: (734) 936-2047 | Kenneth J Pituch, MD 1500 East Medical Center Dr, 12th Floor Cs Mott Childrens Hospital Room 525, Ann Arbor, MI 48109-4280 Ph: (734) 763-5302 |
Dr. Michael Edmund Watson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Joanna Van Beek, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, D3238 Mpb Spc 5718, Ann Arbor, MI 48109 Phone: 734-763-5589 Fax: 734-763-4208 | |
Ashleigh Grund El Sakr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4900 Jackson Rd Ste A, Ann Arbor, MI 48103 Phone: 734-998-7380 | |
Jennifer Rose Blase, MD, PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Vishvanie Bernadene Stoody, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Maysa Hamade, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Dr. Alejandro Velez Lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 |