Leemor Basse Rotberg, MD | |
22731 Newman Street, Suite 245, Dearborn, MI 48124 | |
(313) 561-1777 | |
(313) 561-8044 |
Full Name | Leemor Basse Rotberg |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 24 Years |
Location | 22731 Newman Street, Dearborn, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538121504 | NPI | - | NPPES |
4761675 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207WX0110X | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist | 4301078090 (Michigan) | Secondary |
207W00000X | Ophthalmology | 4301078090 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Childrens Eye Care Pc | 0244338127 | 8 |
Beaumont Medical Group- Specialty Services | 7214299866 | 781 |
Entity Name | Childrens Eye Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922069806 PECOS PAC ID: 0244338127 Enrollment ID: O20070531000554 |
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 |
Entity Name | Beaumont Medical Group- Specialty Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
---|---|
Leemor Basse Rotberg, MD 6689 Orchard Lake Road, #297, West Bloomfield, MI 48322 Ph: (248) 254-8140 | Leemor Basse Rotberg, MD 22731 Newman Street, Suite 245, Dearborn, MI 48124 Ph: (313) 561-1777 |
Stanley Chase Grandon, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 15212 Michigan Ave, Dearborn, MI 48126 Phone: 313-582-8856 Fax: 313-582-8265 | |
Dr. Kyle Welburn, DO Ophthalmology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Asheesh Tewari, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 25230 Michigan Ave, Dearborn, MI 48124 Phone: 134-412-2273 Fax: 313-441-2241 | |
Donald C Fiander, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 25325 Ford Rd, Suite 200, Dearborn, MI 48128 Phone: 313-357-3006 Fax: 313-724-2455 | |
John Denis Roarty, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 22731 Newman, Suite 245, Dearborn, MI 48124 Phone: 313-561-1777 Fax: 313-561-8044 | |
James Matthew Todaro, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Paul Anthony Zlojutro, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 |