Montgomery O Gillard, MD | |
4990 W Clark Rd, Building A, Suite 200, Ypsilanti, MI 48197-1149 | |
(734) 572-7500 | |
(734) 572-7777 |
Full Name | Montgomery O Gillard |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 26 Years |
Location | 4990 W Clark Rd, Ypsilanti, 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 |
---|---|---|---|
1134124217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | 4301072342 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Mercy Hospital | Ann arbor, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Iha Health Services Corporation | 2466351440 | 945 |
Entity Name | Iha Health Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Mailing Address | Practice Location Address |
---|---|
Montgomery O Gillard, MD 24 Frank Lloyd Wright Dr, Po Box 0446 Lobby J, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766 | Montgomery O Gillard, MD 4990 W Clark Rd, Building A, Suite 200, Ypsilanti, MI 48197-1149 Ph: (734) 572-7500 |
Dr. Hyuk C Cha, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4990 W Clark Rd, Ste 400, Ypsilanti, MI 48197 Phone: 734-677-3376 Fax: 734-572-3229 | |
Elizabeth Anne Henderson, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197 Phone: 734-712-3980 | |
Michael Dewall, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-3161 Fax: 734-712-2244 | |
Dr. Emily Rose Davis, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr Rm 2111, Ypsilanti, MI 48197 Phone: 734-712-5015 Fax: 734-712-8777 |