Leighton Ms Lum, DO | |
1375 N Main St, Lapeer, MI 48446-1350 | |
(810) 667-5500 | |
Not Available |
Full Name | Leighton Ms Lum |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 40 Years |
Location | 1375 N Main St, Lapeer, 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 |
---|---|---|---|
1609804939 | NPI | - | NPPES |
300049507 | Other | MI | RRMC |
1917511 | Medicaid | MI | |
310D460020 | Other | MI | BCBS GROUP PIN # |
300F361250 | Other | MI | BCBS GROUP # |
CA3518 | Other | MI | MEDICARE RR GROUP PIN |
1915992 | Medicaid | MI | |
3156301714 | Other | MI | BCBS INDIVIDUAL PIN # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 5101004913 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mclaren Lapeer Region | Lapeer, MI | Hospital |
Mclaren Caro Region | Caro, MI | Hospital |
Hills & Dales General Hospital | Cass city, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kellam And Associates Pc | 6204830649 | 17 |
Entity Name | Kellam & Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366472029 PECOS PAC ID: 6204830649 Enrollment ID: O20060828000091 |
Mailing Address | Practice Location Address |
---|---|
Leighton Ms Lum, DO Po Box 32627, Detroit, MI 48232-0627 Ph: (866) 744-1452 | Leighton Ms Lum, DO 1375 N Main St, Lapeer, MI 48446-1350 Ph: (810) 667-5500 |
Dr. Ronald A Sparschu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3273 Davison Rd Ste 3, Lapeer, MI 48446 Phone: 810-245-5675 Fax: 810-235-6650 | |
Reese James, D.O. Radiology Medicare: Medicare Enrolled Practice Location: 1375 N Main St, Lapeer, MI 48446 Phone: 810-667-5744 Fax: 810-667-5741 | |
Donna R Moyer, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1375 N Main St, Lapeer, MI 48446 Phone: 810-667-5500 | |
Mr. Eduard Volfovitch Kotlyarov, MD Radiology Medicare: Medicare Enrolled Practice Location: 1375 N Main St, Lapeer, MI 48446 Phone: 810-667-5500 |