Wiley Fan, DO | |
28080 Grand River Ave Ste 306n, Farmington Hills, MI 48336-5966 | |
(947) 521-8314 | |
(248) 478-8864 |
Full Name | Wiley Fan |
---|---|
Gender | Male |
Speciality | Infectious Disease |
Experience | 45 Years |
Location | 28080 Grand River Ave Ste 306n, Farmington Hills, 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 |
---|---|---|---|
1811939572 | NPI | - | NPPES |
4036071 | Other | MI | AETNA |
P49606 | Other | MI | BLUE CROSS |
2869034 | Medicaid | MI | |
126488 | Other | MI | CARE CHOICES |
5634383 | Other | MI | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 5101007795 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital - Farmington Hills | Farmington hills, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaumont Medical Group- Specialty Services | 7214299866 | 781 |
Entity Name | Beaumont Medical Group- Specialty Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
---|---|
Wiley Fan, DO 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Wiley Fan, DO 28080 Grand River Ave Ste 306n, Farmington Hills, MI 48336-5966 Ph: (947) 521-8314 |
Kali Allis, Infectious Disease Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-417-8000 | |
Dr. Jyothsna Yalavarthi, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 734-464-0887 Fax: 734-402-0254 | |
Dr. Roberto Mauro Gamarra, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 30055 Northwestern Hwy, Suite 250, Farmington Hills, MI 48334 Phone: 248-985-5000 Fax: 248-985-5500 | |
Dr. Jared Grodman, DO Infectious Disease Medicare: Medicare Enrolled Practice Location: 23133 Orchard Lake Rd Ste 200, Farmington Hills, MI 48336 Phone: 248-579-9220 | |
Justin Cykiert, Infectious Disease Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-615-0777 | |
Larry A Wickless, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 28080 Grand River Ave, Suite 306, Farmington Hills, MI 48336 Phone: 248-471-8982 Fax: 248-426-7350 | |
Alabbas Alaamili, DO Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 |