Paul S Kellerman, MD | |
3535 W 13 Mile Rd Ste 248, Beaumont Chronic Disease Management Clinic, Royal Oak, MI 48073-6770 | |
(248) 551-1515 | |
(248) 551-1516 |
Full Name | Paul S Kellerman |
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Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 3535 W 13 Mile Rd Ste 248, Royal Oak, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1497721401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RN0300X | Internal Medicine - Nephrology | 45019 (Wisconsin) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 4301046818 (Michigan) | Primary |
Entity Name | William Beaumont Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083833875 PECOS PAC ID: 9335051093 Enrollment ID: O20031104000279 |
Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
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Paul S Kellerman, MD 130 Town Center Dr Ste 203, Beaumont Medical Staff Affairs, Troy, MI 48084-1744 Ph: () - | Paul S Kellerman, MD 3535 W 13 Mile Rd Ste 248, Beaumont Chronic Disease Management Clinic, Royal Oak, MI 48073-6770 Ph: (248) 551-1515 |
Nicole Marijanovich, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7999 Fax: 248-898-0580 | |
Vinayata Manuballa Kareti, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 661-948-0803 | |
Christopher Carpenter, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3535 W 13 Mile Rd Ste 605, Royal Oak, MI 48073 Phone: 248-551-0495 | |
Dr. Matthew Burns Cotant, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3577 W 13 Mile Rd, Suite 404, Royal Oak, MI 48073 Phone: 248-551-6900 Fax: 248-551-6909 | |
Geoffrey Prysak, MD, MPH Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7999 | |
Taylor Schoenheit, Nephrology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6509 | |
Shane Mckenna, MD Nephrology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-3000 Fax: 248-551-9425 |