Theodore Raymond Heim, DO | |
50 N Perry St, Pontiac, MI 48342-2217 | |
(248) 338-5392 | |
(248) 338-5567 |
Full Name | Theodore Raymond Heim |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 50 N Perry St, Pontiac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396974523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101018285 (Michigan) | Primary |
Entity Name | Degara App Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
Mailing Address | Practice Location Address |
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Theodore Raymond Heim, DO 50 N Perry St, Pontiac, MI 48342-2217 Ph: (248) 338-5392 | Theodore Raymond Heim, DO 50 N Perry St, Pontiac, MI 48342-2217 Ph: (248) 338-5392 |
Dr. Michael Christopher Dettloff, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Dr. William M. Serote, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Nomc Emercency Center, Pontiac, MI 48341 Phone: 248-857-7440 Fax: 248-857-6992 | |
Dr. Jennifer Ann Freij, D.O Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Dr. David Anthony Minter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Dr. Alexander Samuel Madgy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-849-3485 | |
Dr. Phillip J. Masterson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 461 W Huron St, Nomc Emergency Center, Pontiac, MI 48341 Phone: 248-857-7440 Fax: 248-857-6992 | |
R Steven Hemby, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5327 Fax: 248-338-5129 |