Rhett Brandenburg, | |
17717 Masonic, Fraser, MI 48026-3158 | |
(586) 294-0600 | |
(586) 294-2525 |
Full Name | Rhett Brandenburg |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 14 Years |
Location | 17717 Masonic, Fraser, 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 |
---|---|---|---|
1578845459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301096306 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Observation Emergency Physicians Pc | 9133292410 | 40 |
Emergency Department Physicians Pc | 9436048998 | 63 |
Entity Name | Emergency Department Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466 |
Entity Name | Observation Emergency Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024 |
Mailing Address | Practice Location Address |
---|---|
Rhett Brandenburg, 17717 Masonic, Fraser, MI 48026-3158 Ph: (586) 294-0600 | Rhett Brandenburg, 17717 Masonic, Fraser, MI 48026-3158 Ph: (586) 294-0600 |
Jodi Ralston, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 | |
Daniel Wilkerson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 | |
Simon Katrib, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 | |
Dr. Ross Heller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 | |
Dr. Chad Michael Kovala, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 Fax: 586-294-2525 | |
Elizabeth Bascom, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 | |
Thaddeus Gasowski, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17717 Masonic, Fraser, MI 48026 Phone: 586-294-0600 |