Thomas J Ridella, MD | |
2050 N Haggerty Rd Ste 220, Canton, MI 48187-3796 | |
(734) 446-9757 | |
(734) 446-9750 |
Full Name | Thomas J Ridella |
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Gender | Male |
Speciality | Family Medicine |
Location | 2050 N Haggerty Rd Ste 220, Canton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730641523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 74800 (Wisconsin) | Primary |
Entity Name | Oakwood Ambulatory Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401 |
Mailing Address | Practice Location Address |
---|---|
Thomas J Ridella, MD 26901 Beaumont Blvd # 3d, Southfield, MI 48033-3849 Ph: (947) 522-1952 | Thomas J Ridella, MD 2050 N Haggerty Rd Ste 220, Canton, MI 48187-3796 Ph: (734) 446-9757 |
Dr. Nayantara Jnananand, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 8552 N Canton Center Rd, Canton, MI 48187 Phone: 248-910-4123 Fax: 888-378-0244 | |
Mary Nixon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 S Canton Center Rd, Canton, MI 48188 Phone: 734-398-7880 | |
Miguel Granados, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5958 N Canton Center Rd, Ste 200, Canton, MI 48187 Phone: 734-667-1648 Fax: 734-667-1649 | |
Dr. Usman Ahmed, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 43050 Ford Rd Ste 170, Canton, MI 48187 Phone: 734-404-6168 Fax: 734-404-6183 | |
Pamela M Geppert, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2050 N Haggerty Rd Ste 220, Canton, MI 48187 Phone: 734-446-9757 Fax: 734-446-9750 | |
Dr. .sanjoy Mukerjee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7288 N Sheldon Rd, Canton, MI 48187 Phone: 734-455-8222 Fax: 734-455-5222 | |
Mr. Evans John Farres, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6050 N Sheldon Rd, Canton, MI 48187 Phone: 734-459-5500 Fax: 734-459-4610 |