Mohsen Bannazadeh, | |
3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | |
(248) 898-5000 | |
Not Available |
Full Name | Mohsen Bannazadeh |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 22 Years |
Location | 3601 W 13 Mile Rd, Royal Oak, 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 |
---|---|---|---|
1134354988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301094234 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Shore University Hospital | Manhasset, NY | Hospital |
Long Island Jewish Medical Center | New hyde park, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore - Lij Medical Pc | 3375701568 | 5120 |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Mohsen Bannazadeh, 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: () - | Mohsen Bannazadeh, 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 898-5000 |
Begum Akay, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 307, Royal Oak, MI 48073 Phone: 248-551-2400 Fax: 248-551-6556 | |
Wesley Richard Barnes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-2800 Fax: 248-898-2898 | |
Dr. Samantha Denae Kraemer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 517-474-1989 | |
Sayee Hardas Kiran, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd Ste Bcc, Royal Oak, MI 48073 Phone: 248-551-3300 Fax: 248-551-3370 | |
Sean Elliot Masters, MD Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-2673 | |
Dr. Jason Kimball Shellnut, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1121 Crooks Rd, Royal Oak, MI 48067 Phone: 248-541-8554 Fax: 248-541-1791 |