Cassius A Deflon Md Pc | |
30100 Telegraph Rd Ste 273 Bingham Farms MI 48025-4514 | |
(248) 647-7577 | |
Not Available |
Full Name | Cassius A Deflon Md Pc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 30100 Telegraph Rd, Bingham Farms, Michigan |
Authorized Official Name and Position | Cassius Deflon (PHYSICIAN) |
Authorized Official Contact | 2486477577 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cassius A Deflon Md Pc 30100 Telegraph Rd Ste 273 Bingham Farms MI 48025-4514 Ph: (248) 647-7577 | Cassius A Deflon Md Pc 30100 Telegraph Rd Ste 273 Bingham Farms MI 48025-4514 Ph: (248) 647-7577 |
NPI Number | 1326185133 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 06/25/2008 |
Medicare PECOS PAC ID | 4082784269 |
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Medicare Enrollment ID | O20080530000039 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326185133 | NPI | - | NPPES |
101783196 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 4301028558 (Michigan) | Primary |
Provider Name | Cassius A Deflon |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730363441 PECOS PAC ID: 8729158993 Enrollment ID: I20080530000029 |
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