Ascension Medical Group Michigan | |
28000 Dequindre Road Revenue Cycle Department Warren MI 48092 | |
(248) 680-8000 | |
(248) 292-3852 |
Full Name | Ascension Medical Group Michigan |
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Speciality | Internal Medicine |
Location | 28000 Dequindre Road, Warren, Michigan |
Authorized Official Name and Position | Sarah Starkel (SUPERVISOR) |
Authorized Official Contact | 2486808121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ascension Medical Group Michigan Po Box 14129 Belfast ME 04915-4032 Ph: (248) 680-8000 | Ascension Medical Group Michigan 28000 Dequindre Road Revenue Cycle Department Warren MI 48092 Ph: (248) 680-8000 |
NPI Number | 1730117805 |
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Provider Enumeration Date | 06/29/2006 |
Last Update Date | 11/29/2023 |
Medicare PECOS PAC ID | 0648180406 |
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Medicare Enrollment ID | O20060803000400 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730117805 | NPI | - | NPPES |
080F334280 | Other | MI | BCBSM GROUP NUMBER |
Provider Name | Maura Bradley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609844323 PECOS PAC ID: 9133028525 Enrollment ID: I20040105000739 |
Provider Name | Anjana M Barad |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639161334 PECOS PAC ID: 0143115584 Enrollment ID: I20040216001061 |
Provider Name | Jacqueline G Appiah |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235106998 PECOS PAC ID: 5395722623 Enrollment ID: I20040702001139 |
Provider Name | Anita T Bodiya |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619944741 PECOS PAC ID: 8729065065 Enrollment ID: I20040702001169 |
Provider Name | Sushma Sadasivan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609843739 PECOS PAC ID: 3971581554 Enrollment ID: I20040709001204 |
Provider Name | Mark Dennis Stacherski |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053389775 PECOS PAC ID: 7315925997 Enrollment ID: I20040709001216 |
Provider Name | Glenn E Taylor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689675878 PECOS PAC ID: 3375521966 Enrollment ID: I20040709001255 |
Provider Name | Gayla Zoghlin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417924549 PECOS PAC ID: 8628056215 Enrollment ID: I20040709001274 |
Provider Name | Stephanie Linden |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891762175 PECOS PAC ID: 2062490659 Enrollment ID: I20040709001290 |
Provider Name | Frank Parrinello |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548238579 PECOS PAC ID: 5193703791 Enrollment ID: I20040709001334 |
Provider Name | Steven Klein |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508834227 PECOS PAC ID: 0648257071 Enrollment ID: I20040709001362 |
Provider Name | Joseph Giannola |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992772271 PECOS PAC ID: 3678551280 Enrollment ID: I20040709001398 |
Provider Name | Kelly Fitzgibbons |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396712055 PECOS PAC ID: 8123006731 Enrollment ID: I20040709001404 |
Provider Name | Bethany Clary |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598732257 PECOS PAC ID: 0840278453 Enrollment ID: I20040709001415 |
Provider Name | Coleen Dewitt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467421958 PECOS PAC ID: 9830177443 Enrollment ID: I20040709001420 |
Provider Name | William White |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962470682 PECOS PAC ID: 4284612789 Enrollment ID: I20040712000254 |
Provider Name | Kevin G Deighton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942277397 PECOS PAC ID: 4385621713 Enrollment ID: I20040712000284 |
Provider Name | Silvana P Younan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952385098 PECOS PAC ID: 3971563875 Enrollment ID: I20041014001094 |
Provider Name | Courtney Melissa Mehock |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326085721 PECOS PAC ID: 6608898564 Enrollment ID: I20051220000917 |
Provider Name | Musib S Gappy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477544088 PECOS PAC ID: 7315040375 Enrollment ID: I20070313000207 |
Provider Name | Iyad J Alosachie |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457335713 PECOS PAC ID: 3476656489 Enrollment ID: I20070320000038 |
Provider Name | Matthew W Benedix |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780885087 PECOS PAC ID: 5799886503 Enrollment ID: I20070724000402 |
Provider Name | Radhika R Chintalapally |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326251620 PECOS PAC ID: 6002975661 Enrollment ID: I20081111000675 |
Provider Name | Shalini Singh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275534208 PECOS PAC ID: 3577604891 Enrollment ID: I20100108000718 |
Provider Name | Bassam Jabrail Thwainey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871821389 PECOS PAC ID: 8820123177 Enrollment ID: I20100312000035 |
Provider Name | Dhananjay Kumar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669461075 PECOS PAC ID: 9234310525 Enrollment ID: I20110218000856 |
Provider Name | Victoria N Dooley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073789616 PECOS PAC ID: 6204013642 Enrollment ID: I20110610000633 |
Provider Name | Mark K Banno |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669600219 PECOS PAC ID: 2668620972 Enrollment ID: I20120911000685 |
Provider Name | Meghna Shailesh Pathak |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609004662 PECOS PAC ID: 6204087752 Enrollment ID: I20121112000026 |
Provider Name | Clint E Bernhard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124262738 PECOS PAC ID: 1557516028 Enrollment ID: I20130307000159 |
Provider Name | Sarah S Burkett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821309451 PECOS PAC ID: 9436393543 Enrollment ID: I20130911000346 |
Provider Name | Brandon T Karmo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831533645 PECOS PAC ID: 8729384854 Enrollment ID: I20160630000940 |
Provider Name | Diana A Haidar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154763274 PECOS PAC ID: 5496057093 Enrollment ID: I20160810001297 |
Provider Name | Megan Schram |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043763006 PECOS PAC ID: 3375811854 Enrollment ID: I20171226001943 |
Provider Name | Paolo N Balmaseda |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326427105 PECOS PAC ID: 3577884469 Enrollment ID: I20190817000190 |
Provider Name | Mohiman Saffar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952838138 PECOS PAC ID: 5193093904 Enrollment ID: I20200714002621 |
Provider Name | Samantha Cherise Wein |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346779915 PECOS PAC ID: 0042638900 Enrollment ID: I20200910000113 |
Provider Name | Madeleine Mae Mcmall |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306373428 PECOS PAC ID: 4880012574 Enrollment ID: I20200911001972 |
Provider Name | William H Bachman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245851039 PECOS PAC ID: 9739500653 Enrollment ID: I20230803001702 |
Peter L Wickens D.o.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14050 E 14 Mile Rd, Warren, MI 48088 Phone: 586-293-2088 Fax: 586-293-5502 | |
Family Medicine And Sleep Specialist Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11670 Martin Rd, Warren, MI 48093 Phone: 586-754-3830 Fax: 586-754-3840 | |
Tricounty Hospitalists, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000 Fax: 248-265-4082 | |
Madison Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 E 12 Mile Rd, Suite C, Warren, MI 48092 Phone: 810-751-7733 | |
Warren Gastroenterology Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27560 Hoover Rd, Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400 | |
Md Urgent Care & Family Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12640 E 12 Mile Rd, Warren, MI 48093 Phone: 586-751-2020 Fax: 586-745-4756 | |
Eastern Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28401 Hoover Rd Ste 2, Warren, MI 48093 Phone: 586-754-3830 Fax: 586-754-3840 |