Shahbaz Shahid Nisar, MD | |
4940 W Clark Rd, Suite 100, Ypsilanti, MI 48197-0860 | |
(734) 971-1188 | |
(734) 971-3658 |
Full Name | Shahbaz Shahid Nisar |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 14 Years |
Location | 4940 W Clark Rd, Ypsilanti, 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 |
---|---|---|---|
1659647717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01084868A (Indiana) | Primary |
207Q00000X | Family Medicine | 4301100567 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Community Hospital | Munster, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Care Network Inc | 3678737012 | 346 |
Entity Name | Community Care Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
Mailing Address | Practice Location Address |
---|---|
Shahbaz Shahid Nisar, MD 8558 Broadway, Merrillville, IN 46410-7032 Ph: (219) 392-7084 | Shahbaz Shahid Nisar, MD 4940 W Clark Rd, Suite 100, Ypsilanti, MI 48197-0860 Ph: (734) 971-1188 |
Ryan Balacanao Huerto, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Arnet St, Ypsilanti, MI 48198 Phone: 734-482-6221 | |
Christine Theresa Cigolle, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Arnett St, Suite 200, Ypsilanti, MI 48198 Phone: 734-482-6221 | |
Dr. Michael Washburn Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3145 W Clark Rd, Suite 201, Ypsilanti, MI 48197 Phone: 734-528-5700 Fax: 734-572-9100 | |
Laura Emily Ann Lee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Arnet St, Ypsilanti, MI 48198 Phone: 734-482-6221 | |
Ross Philip Schmaeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4940 W Clark Rd Ste 100, Ypsilanti, MI 48197 Phone: 734-971-1188 Fax: 734-971-3658 | |
Dr. Robert Breakey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4940 W Clark Rd, Ste 100, Ypsilanti, MI 48197 Phone: 734-971-1188 Fax: 734-971-3658 | |
Ellen H. Gryniewicz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3145 W Clark Rd, Suite 401, Ypsilanti, MI 48197 Phone: 734-528-5700 Fax: 734-528-5701 |