Timothy Patrick Visclosky, MD | |
1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | |
(734) 936-4000 | |
Not Available |
Full Name | Timothy Patrick Visclosky |
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Gender | Male |
Speciality | Emergency Medicine - Pediatric Emergency Medicine |
Location | 1500 E Medical Center Dr, Ann Arbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003266503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 4301117216 (Michigan) | Primary |
Entity Name | Regents Of The University Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325 |
Mailing Address | Practice Location Address |
---|---|
Timothy Patrick Visclosky, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Timothy Patrick Visclosky, MD 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000 |
Sarah Whitney Tehranisa, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Phillip Alton Scott, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Kylee E Phillips, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Drive, B1 Floor University Hospital Recp Emergency, Ann Arbor, MI 48109 Phone: 734-936-6666 | |
Abhinav Nafday, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Drive, Ann Arbor, MI 48109 Phone: 734-763-7919 Fax: 734-763-9298 | |
Nimra Sohail Hassan, MD, MPH Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-6666 | |
John C Baselle, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Green Rd, Suite 100, Ann Arbor, MI 48105 Phone: 734-995-3764 Fax: 208-475-9028 |