Kevin David Nolan, MD | |
22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 | |
(248) 424-5748 | |
(248) 443-1706 |
Full Name | Kevin David Nolan |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 38 Years |
Location | 22250 Providence Dr, Southfield, 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 |
---|---|---|---|
1871560979 | NPI | - | NPPES |
0P33080 | Other | MI | PTAN |
3488275 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | KN062252 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Comprehensive Vascular Care Pc | 5496735664 | 3 |
Entity Name | Comprehensive Vascular Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538136072 PECOS PAC ID: 5496735664 Enrollment ID: O20060713000146 |
Mailing Address | Practice Location Address |
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Kevin David Nolan, MD 22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 Ph: (248) 424-5748 | Kevin David Nolan, MD 22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 Ph: (248) 424-5748 |
Violet Onkoba, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 27209 Lahser Rd Ste 128, Southfield, MI 48034 Phone: 248-353-0200 | |
Kristopher Mahlon George, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2600 Fax: 248-849-2610 | |
Khatchadour Hamamdjian, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 27177 Lahser Rd, Suite Number 104, Southfield, MI 48034 Phone: 248-353-6580 Fax: 248-353-0883 | |
Carly Beth Young, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr Ste 703a, Southfield, MI 48075 Phone: 248-849-5862 | |
Nafisa Kuwajerwala, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr, Suite 700, Southfield, MI 48075 Phone: 248-559-5115 | |
Vijay K Mittal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Drive, Suite 703a, Southfield, MI 48075 Phone: 248-849-5862 Fax: 248-849-8117 | |
Dr. Ivan Kamikovski, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3073 |