Paul K Fozo, MD | |
50505 Schoenherr Rd, Suite 340, Shelby Township, MI 48315-3140 | |
(586) 731-8400 | |
(586) 731-8406 |
Full Name | Paul K Fozo |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 22 Years |
Location | 50505 Schoenherr Rd, Shelby Township, 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 |
---|---|---|---|
1073593174 | NPI | - | NPPES |
0827486 | Other | MI | BCBS |
474607010 | Medicaid | MI | |
1073593174 | Other | MI | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301080819 (Michigan) | Secondary |
208M00000X | Hospitalist | 4301080819 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St John Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension St John Hospital | 3173424082 | 279 |
Entity Name | Ascension St John Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
Mailing Address | Practice Location Address |
---|---|
Paul K Fozo, MD 1746 Momentum Pl, Chicago, IL 60689-5317 Ph: (586) 731-8400 | Paul K Fozo, MD 50505 Schoenherr Rd, Suite 340, Shelby Township, MI 48315-3140 Ph: (586) 731-8400 |
Dr. Malaz Alatassi, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315 Phone: 586-731-8400 Fax: 586-731-8406 | |
Liz Wilson, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd, Suite 340, Shelby Township, MI 48315 Phone: 586-731-8400 Fax: 586-731-8406 | |
Anthony Shen, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315 Phone: 586-731-8400 Fax: 586-731-8406 | |
Dr. Dheeraj Thammineni, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd, Suite 340, Shelby Township, MI 48315 Phone: 586-731-8400 Fax: 586-731-8406 | |
Dr. Brian Tyson, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315 Phone: 586-731-8400 Fax: 586-731-8406 |