Pamela M Kratkoczki, MD | |
Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 | |
(313) 982-8330 | |
(313) 982-8294 |
Full Name | Pamela M Kratkoczki |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | Henry Ford Health System, Dearborn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952458754 | NPI | - | NPPES |
176850010 | Medicaid | MI | |
700H262280 | Other | BLUE CROSS-BLUE CROSS | |
PK048924 | Other | CHAMPUS-CHAMPUS | |
PK048924 | Other | COMMERCIAL-COMMERCIAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301048924 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Mailing Address | Practice Location Address |
---|---|
Pamela M Kratkoczki, MD Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 Ph: (313) 982-8330 | Pamela M Kratkoczki, MD Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 Ph: (313) 982-8330 |
Mrs. Kingkhan Boriboon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3850 Pelham St, Dearborn, MI 48124 Phone: 313-562-9500 Fax: 313-562-7567 | |
Rannan Kased, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 4700 Schaefer Rd Ste 245255, Dearborn, MI 48126 Phone: 313-561-5100 Fax: 313-565-0309 | |
Dr. Doss Nicolas Doss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 5500 Auto Club Dr, Dearborn, MI 48126 Phone: 313-425-4700 | |
Saba Javaid, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19401 Hubbard Dr, Dearborn, MI 48126 Phone: 313-982-4400 | |
Kathleen B. Blumer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 Phone: 313-982-8330 Fax: 313-982-8294 | |
Dr. Azmathullah Khan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4700 Greenfield Rd, Dearborn, MI 48126 Phone: 313-945-6100 Fax: 313-945-5260 | |
Dr. Alex Elsabbagh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 N Telegraph Rd, Dearborn, MI 48128 Phone: 313-274-6666 Fax: 313-274-4466 |