Richard Mark, DO | |
9398 N Lilley Rd, Plymouth, MI 48170-4610 | |
(734) 254-0453 | |
(734) 459-1855 |
Full Name | Richard Mark |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 9398 N Lilley Rd, Plymouth, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649244286 | NPI | - | NPPES |
1649244286 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101009615 (Michigan) | Primary |
208D00000X | General Practice | 5101009615 (Michigan) | Secondary |
Entity Name | St Mary Mercy Physician Practices |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568630077 PECOS PAC ID: 4587742804 Enrollment ID: O20080425000614 |
Mailing Address | Practice Location Address |
---|---|
Richard Mark, DO 9398 N Lilley Rd, Plymouth, MI 48170-4610 Ph: (734) 254-0453 | Richard Mark, DO 9398 N Lilley Rd, Plymouth, MI 48170-4610 Ph: (734) 254-0453 |
Dr. Kimberly Ottoni, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14300 N Beck Rd, Plymouth, MI 48170 Phone: 734-453-5600 | |
Joseph W. Crow Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14300 N Beck Rd, Plymouth, MI 48170 Phone: 734-453-5600 | |
Andrew Rubenstein, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 261 S Main St, Plymouth, MI 48170 Phone: 734-453-9500 Fax: 734-453-9501 | |
Vijaya Mamidipaka, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 47500 Ffve Mile Road, Plymouth, MI 48170 Phone: 734-459-7400 Fax: 734-459-7403 | |
Dr. Lauren Elizabeth Lumley, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 990 W Ann Arbor Trl Ste 208, Plymouth, MI 48170 Phone: 734-455-1200 Fax: 734-455-5219 | |
Sana Rasheed Zuberi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14300 N Beck Rd, Plymouth, MI 48170 Phone: 800-653-6568 | |
Lauren E. Schrock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 990 W Ann Arbor Trl Ste 208, Plymouth, MI 48170 Phone: 734-455-1200 |