Kevin John Wickenheiser, MD | |
2799 W Grand Blvd, Detroit, MI 48202-2608 | |
(313) 622-6170 | |
Not Available |
Full Name | Kevin John Wickenheiser |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 13 Years |
Location | 2799 W Grand Blvd, 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 |
---|---|---|---|
1043506520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301098989 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy St Vincent Medical Center | Toledo, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Emergency Care Services Inc | 9436475795 | 50 |
Entity Name | Mercy Emergency Care Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477957819 PECOS PAC ID: 9436475795 Enrollment ID: O20150303001904 |
Mailing Address | Practice Location Address |
---|---|
Kevin John Wickenheiser, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: () - | Kevin John Wickenheiser, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 622-6170 |
Kristin Inger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3300 | |
Dr. Gerard Edward Heath, MD, MBA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Robert T Malinowski, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3300 | |
Dr. Kamal K Nangia, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8040 | |
Dr. Matthew J Griffin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3300 | |
Gregory L. Hays, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Brooke M Frakes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-1024 |