Samuel T Fawaz, MD | |
Trinity Health Iha Medical Group Primary Care Freedom, 20206 Farmington Rd, Livonia, MI 48152 | |
(248) 476-4724 | |
(248) 476-7091 |
Full Name | Samuel T Fawaz |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 21 Years |
Location | Trinity Health Iha Medical Group Primary Care Freedom, Livonia, 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 |
---|---|---|---|
1295945996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME150730 (Florida) | Secondary |
207R00000X | Internal Medicine | 4301084045 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joe Mercy Hospital System Livonia | Livonia, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Iha Olma Primary Non Risk Llc | 1759792799 | 15 |
Adventhealth Primary Care Network Inc | 1557722410 | 338 |
Entity Name | Iha Olma Primary Non Risk Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073112819 PECOS PAC ID: 1759792799 Enrollment ID: O20201124001881 |
Mailing Address | Practice Location Address |
---|---|
Samuel T Fawaz, MD 24 Frank Lloyd Wright Drive, J2000, Ann Arbor, MI 48105 Ph: (734) 747-6766 | Samuel T Fawaz, MD Trinity Health Iha Medical Group Primary Care Freedom, 20206 Farmington Rd, Livonia, MI 48152 Ph: (248) 476-4724 |
Mark Gregory Marrone, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18302 Middlebelt Rd, Livonia, MI 48152 Phone: 248-478-1500 Fax: 248-478-2798 | |
Jay Maurice Daitch, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20206 Farmington Rd, Livonia, MI 48152 Phone: 248-476-4724 Fax: 248-476-7091 | |
Dr. Mark R. Villeneuve, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14555 Levan Rd, Suite 202, Livonia, MI 48154 Phone: 734-542-4470 Fax: 734-542-4475 | |
Dr. John Krausman, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 20000 Farmington Rd, Bldg. E, Livonia, MI 48152 Phone: 248-474-1144 Fax: 248-474-1548 | |
Jenelle Hao-galera, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 36123 Schoolcraft Rd, Livonia, MI 48150 Phone: 734-793-6140 Fax: 734-402-0254 | |
Mark A Rasak, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17880 Farmington Rd, Livonia, MI 48152 Phone: 248-615-7300 Fax: 248-615-7333 | |
Maria B. Perry, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 36123 Schoolcraft Rd, Livonia, MI 48150 Phone: 734-464-0887 Fax: 734-402-0254 |