Stephanie Diamond, | |
16826 Newburgh Rd, Livonia, MI 48154 | |
(734) 464-8400 | |
Not Available |
Full Name | Stephanie Diamond |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 16 Years |
Location | 16826 Newburgh Rd, Livonia, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710140785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301092776 (Michigan) | Secondary |
207N00000X | Dermatology | 4301092776 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Dermatology Of Michigan Pc | 0941511224 | 34 |
Entity Name | Advanced Dermatology Of Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851708929 PECOS PAC ID: 0941511224 Enrollment ID: O20150615000237 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Diamond, 1377 Beech St, Plymouth, MI 48170-2005 Ph: (313) 608-8458 | Stephanie Diamond, 16826 Newburgh Rd, Livonia, MI 48154 Ph: (734) 464-8400 |
Mark Goralewski, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14801 Farmington Rd, Livonia, MI 48154 Phone: 734-542-8100 | |
Olabola Awosika, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 37605 Pembroke Ave, Livonia, MI 48152 Phone: 834-591-7931 Fax: 734-464-0335 | |
Dr. Sajiv Gugneja, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 20234 Farmington Rd, Livonia, MI 48152 Phone: 248-474-8440 Fax: 248-474-5714 | |
Kristy Bojazi Charles, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 19900 Haggerty Road, Suite 105, Livonia, MI 48152 Phone: 734-936-4054 | |
Dr. Andrew J Mitchell, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 20234 Farmington Rd, Livonia, MI 48152 Phone: 248-474-8440 Fax: 248-474-5714 | |
Khaled Hassan El-hoshy, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14555 Levan Rd, Ste 410, Livonia, MI 48154 Phone: 734-462-9499 Fax: 734-462-4124 | |
Dr. David Pegouske, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14801 Farmington Rd, Livonia, MI 48154 Phone: 734-542-8100 Fax: 734-542-8168 |