Matthew Mason Davis, MD | |
1051 North Canton Center Rd, Canton, MI 48187-5097 | |
(734) 844-5400 | |
Not Available |
Full Name | Matthew Mason Davis |
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Gender | Male |
Speciality | Pediatrics |
Location | 1051 North Canton Center Rd, Canton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528157492 | NPI | - | NPPES |
4207575 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301075974 (Michigan) | Secondary |
208000000X | Pediatrics | 4301075974 (Michigan) | Primary |
Entity Name | Pediatric Faculty Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157 |
Mailing Address | Practice Location Address |
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Matthew Mason Davis, MD 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 Ph: (734) 936-2047 | Matthew Mason Davis, MD 1051 North Canton Center Rd, Canton, MI 48187-5097 Ph: (734) 844-5400 |
Christine Gay Brenner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 S Canton Center Rd, Ste 200, Canton, MI 48188 Phone: 734-713-4000 Fax: 734-713-4001 | |
Dr. Lisa Sprague, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Judy Tosto, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Ste 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Crystal G Barrow, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Hira Amarasinghe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 49650 Cherry Hill Rd Ste 210, Canton, MI 48187 Phone: 734-620-9993 | |
Dr. Bader Fatima Khan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8528 N Canton Center Rd, Canton, MI 48187 Phone: 734-414-9944 | |
Dr. Megan Ann Olson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1051 North Canton Rd, Canton, MI 48187 Phone: 734-844-5400 Fax: 734-764-2599 |