Mary Chisholm Jordan, DO | |
44199 Dequindre Rd, Suite 415, Troy, MI 48085-1128 | |
(248) 964-6061 | |
(248) 964-6054 |
Full Name | Mary Chisholm Jordan |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 44199 Dequindre Rd, Troy, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467618694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 5101010084 (Michigan) | Primary |
Entity Name | Beaumont Medical Group- Specialty Services |
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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 |
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Mary Chisholm Jordan, DO 44199 Dequindre Rd, Suite 415, Troy, MI 48085-1128 Ph: (248) 964-6061 | Mary Chisholm Jordan, DO 44199 Dequindre Rd, Suite 415, Troy, MI 48085-1128 Ph: (248) 964-6061 |
Joelle Aoun Abood, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2825 Livernois Road, Henry Ford Medical Center - Women's Health, Troy, MI 48083 Phone: 248-680-6000 Fax: 757-594-4735 | |
Marwa Ieliya Ibrahim, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-1043 Fax: 248-964-0692 | |
Dr. Karen Condon Wheeler, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 130 Town Center Drive, Suite 106, Troy, MI 48084 Phone: 248-619-3100 Fax: 248-619-9031 | |
Hyunyoung Ahn, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44199 Dequindre Rd Ste 415, Troy, MI 48085 Phone: 248-964-5129 | |
Michael Tsimis, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3979 Mark Dr, Troy, MI 48083 Phone: 248-225-5253 | |
Deemah Salem, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3290 W Big Beaver Rd, Suite 444, Troy, MI 48084 Phone: 248-816-9200 | |
Mark Edward Ohm, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3290 W Big Beaver Rd, Suite 444, Troy, MI 48084 Phone: 248-816-9200 Fax: 248-816-1017 |