| Ascension Medical Group Michigan | |
|
28000 Dequindre Road Revenue Cycle Departmetn Warren MI 48092 | |
| (248) 680-8000 | |
| (248) 292-3852 |
| Full Name | Ascension Medical Group Michigan |
|---|---|
| Speciality | Family 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 |
|---|---|
| Ascension Medical Group Michigan Po Box 14129 Belfast ME 04915-4032 Ph: (248) 680-8000 | Ascension Medical Group Michigan 28000 Dequindre Road Revenue Cycle Departmetn Warren MI 48092 Ph: (248) 680-8000 |
| NPI Number | 1942317631 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 11/29/2023 |
| Medicare PECOS PAC ID | 0648180406 |
|---|---|
| Medicare Enrollment ID | O20031113000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942317631 | NPI | - | NPPES |
| CG4683 | Other | MI | RAILROAD MEDICARE GROUP NUMBER |
| 700E012300 | Other | MI | BCBSM GROUP NUMBER |
| CB2735 | Other | MI | RAILROAD MEDICARE GROUP NUMBER |
| CG3113 | Other | MI | RAILROAD MEDICARE GROUP NUMBER |
| Provider Name | Leigh A Solomon |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1508061813 PECOS PAC ID: 1254231954 Enrollment ID: I20040109000791 |
| Provider Name | Neeran Y Bajouka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326146390 PECOS PAC ID: 5496640146 Enrollment ID: I20040224000089 |
| Provider Name | Charles L Nino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922057199 PECOS PAC ID: 6901702992 Enrollment ID: I20040426000578 |
| Provider Name | Stephanie Linden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891762175 PECOS PAC ID: 2062490659 Enrollment ID: I20040709001290 |
| Provider Name | Bethany Clary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598732257 PECOS PAC ID: 0840278453 Enrollment ID: I20040709001415 |
| Provider Name | Abdelkader Hawasli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467502294 PECOS PAC ID: 7012800238 Enrollment ID: I20040726000545 |
| Provider Name | Ahmed Abdel Meguid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487704227 PECOS PAC ID: 8527039700 Enrollment ID: I20040802001480 |
| Provider Name | Nathan S White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134106024 PECOS PAC ID: 0941260970 Enrollment ID: I20041014000424 |
| Provider Name | Sanjay Batra |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1114981917 PECOS PAC ID: 8426034406 Enrollment ID: I20050314000252 |
| Provider Name | Nancy Iannucci Welke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487711677 PECOS PAC ID: 9436198140 Enrollment ID: I20050502000464 |
| Provider Name | James Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972592541 PECOS PAC ID: 5496794018 Enrollment ID: I20050503000358 |
| Provider Name | Kenneth Joseph Bottesi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164419008 PECOS PAC ID: 0840226254 Enrollment ID: I20050715000937 |
| Provider Name | Sherri L Graf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063417137 PECOS PAC ID: 7618903444 Enrollment ID: I20050721000407 |
| Provider Name | Lauri B Conroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023010360 PECOS PAC ID: 3375571060 Enrollment ID: I20050803000406 |
| Provider Name | Rachel E Obyrne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376503151 PECOS PAC ID: 7012985427 Enrollment ID: I20050912000562 |
| Provider Name | Lisa Lillian Gilbertahee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295705168 PECOS PAC ID: 5193730430 Enrollment ID: I20060208000334 |
| Provider Name | Lillian Fuad Marzouq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932199452 PECOS PAC ID: 2264448257 Enrollment ID: I20060301000369 |
| Provider Name | Brigitte M Ngoyi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053306886 PECOS PAC ID: 1759398399 Enrollment ID: I20060307000643 |
| Provider Name | Mada H Jamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386716280 PECOS PAC ID: 9830109198 Enrollment ID: I20060501000659 |
| Provider Name | Nejla A Israel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821045311 PECOS PAC ID: 5799798930 Enrollment ID: I20060711000196 |
| Provider Name | Mubashir A Sabir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265477418 PECOS PAC ID: 9739105354 Enrollment ID: I20060801000402 |
| Provider Name | Raveend C Thabolingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184654154 PECOS PAC ID: 2062415375 Enrollment ID: I20060804000328 |
| Provider Name | Daphne P Tumaneng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417901174 PECOS PAC ID: 4587667506 Enrollment ID: I20060811000471 |
| Provider Name | Alan T Ghassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760450811 PECOS PAC ID: 8921002486 Enrollment ID: I20060914000376 |
| Provider Name | Barry J Scofield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699725481 PECOS PAC ID: 6901909860 Enrollment ID: I20070313000599 |
| Provider Name | Charles G Skardarasy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386618882 PECOS PAC ID: 7416053988 Enrollment ID: I20070430000092 |
| Provider Name | Ebonie Z Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689891582 PECOS PAC ID: 5496846412 Enrollment ID: I20070806000576 |
| Provider Name | Salem M Sayar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346326238 PECOS PAC ID: 7517059215 Enrollment ID: I20070827000310 |
| Provider Name | Manhal W Tobia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730132077 PECOS PAC ID: 8325134000 Enrollment ID: I20071010000553 |
| Provider Name | Rebecca Studinger |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1295946200 PECOS PAC ID: 0749377927 Enrollment ID: I20071105000387 |
| Provider Name | Joyce C Purakal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346360229 PECOS PAC ID: 4789772716 Enrollment ID: I20071108000550 |
| Provider Name | Vamshidhar D Guduguntla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174525729 PECOS PAC ID: 2567549660 Enrollment ID: I20080414000078 |
| Provider Name | Hiroshi Yamasaki |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538161187 PECOS PAC ID: 1658450143 Enrollment ID: I20080508000753 |
| Provider Name | Douglas C Kubek |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003903832 PECOS PAC ID: 9931278579 Enrollment ID: I20080521000862 |
| Provider Name | Regina R Frost |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215148689 PECOS PAC ID: 1456422476 Enrollment ID: I20080619000240 |
| Provider Name | Basel A Brikho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285721514 PECOS PAC ID: 4587736590 Enrollment ID: I20080709000116 |
| Provider Name | Jennifer M Nowasielski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790991909 PECOS PAC ID: 8527132026 Enrollment ID: I20080731000769 |
| Provider Name | Kimberly D Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295957926 PECOS PAC ID: 0143396671 Enrollment ID: I20080908000418 |
| Provider Name | Jacquelyn N Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427264902 PECOS PAC ID: 2769541101 Enrollment ID: I20081030000283 |
| Provider Name | Radhika R Chintalapally |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326251620 PECOS PAC ID: 6002975661 Enrollment ID: I20081111000675 |
| Provider Name | Najah Rassam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780795518 PECOS PAC ID: 6709947096 Enrollment ID: I20081204000801 |
| Provider Name | Veena B Chari Hedni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922096700 PECOS PAC ID: 1456491232 Enrollment ID: I20091230000131 |
| Provider Name | Thomas R Hartzell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619966256 PECOS PAC ID: 8123163342 Enrollment ID: I20100226000514 |
| Provider Name | Bassam Jabrail Thwainey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871821389 PECOS PAC ID: 8820123177 Enrollment ID: I20100312000035 |
| Provider Name | Douglas Gregory Hames |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457400954 PECOS PAC ID: 4880721810 Enrollment ID: I20100423000265 |
| Provider Name | Majed A Rammouni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437262318 PECOS PAC ID: 8325230659 Enrollment ID: I20101005001164 |
| Provider Name | Maysaa M Basha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073781571 PECOS PAC ID: 2062606486 Enrollment ID: I20101029001089 |
| Provider Name | Michael F Wind |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861421380 PECOS PAC ID: 4183818131 Enrollment ID: I20101103000723 |
| Provider Name | Michael S Fozo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114019627 PECOS PAC ID: 4789871971 Enrollment ID: I20101214000912 |
| Provider Name | Fouad Azoury |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265735047 PECOS PAC ID: 8022299437 Enrollment ID: I20110217000864 |
| Provider Name | Dhananjay Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669461075 PECOS PAC ID: 9234310525 Enrollment ID: I20110218000856 |
| Provider Name | Peter Joseph Maceroni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124221668 PECOS PAC ID: 6709054000 Enrollment ID: I20110712000237 |
| Provider Name | Kishan K Jasti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346248135 PECOS PAC ID: 2769412998 Enrollment ID: I20110801000842 |
| Provider Name | David E Karle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225124100 PECOS PAC ID: 8921278292 Enrollment ID: I20110823000937 |
| Provider Name | Janet C Mullings-britton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902010085 PECOS PAC ID: 1951479328 Enrollment ID: I20120224000513 |
| Provider Name | Purvi S Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427286095 PECOS PAC ID: 7517120116 Enrollment ID: I20120517000651 |
| Provider Name | Hani Kador |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235360835 PECOS PAC ID: 4587820824 Enrollment ID: I20120731000782 |
| Provider Name | Meghna Shailesh Pathak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609004662 PECOS PAC ID: 6204087752 Enrollment ID: I20121112000026 |
| Provider Name | Margaret Clare Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124306212 PECOS PAC ID: 0345495685 Enrollment ID: I20130312000502 |
| Provider Name | Jennifer C Rohrborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598091704 PECOS PAC ID: 9234374018 Enrollment ID: I20130327000231 |
| Provider Name | Antonious S Attallah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306081138 PECOS PAC ID: 9335384064 Enrollment ID: I20130328000154 |
| Provider Name | Paige E Paladino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255651170 PECOS PAC ID: 2860638202 Enrollment ID: I20130409000628 |
| Provider Name | Katherine A Paquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932250206 PECOS PAC ID: 6901047315 Enrollment ID: I20130729000124 |
| Provider Name | Deepti Zutshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568621696 PECOS PAC ID: 9739367251 Enrollment ID: I20130820000403 |
| Provider Name | Sarah L Griffith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528388444 PECOS PAC ID: 5597989426 Enrollment ID: I20140617000513 |
| Provider Name | Kenneth Son |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831194992 PECOS PAC ID: 1658307954 Enrollment ID: I20150622002033 |
| Provider Name | Tiffany L Bassily |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669736153 PECOS PAC ID: 2466766803 Enrollment ID: I20150729010342 |
| Provider Name | Andrey A Volkov |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023270477 PECOS PAC ID: 2062727043 Enrollment ID: I20150820009783 |
| Provider Name | Ziyad Iskenderian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588956254 PECOS PAC ID: 4486958584 Enrollment ID: I20160210001960 |
| Provider Name | Brandon T Karmo |
|---|---|
| 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 | Rohit A Marawar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447415526 PECOS PAC ID: 5496918484 Enrollment ID: I20161013001830 |
| Provider Name | Moutamn Sadoun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528321809 PECOS PAC ID: 0648549592 Enrollment ID: I20170707002379 |
| Provider Name | Julius Griauzde |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225318652 PECOS PAC ID: 6406156363 Enrollment ID: I20170718003393 |
| Provider Name | Sean Anthony Cassleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720404775 PECOS PAC ID: 8325322928 Enrollment ID: I20170810003033 |
| Provider Name | Shilpin A Mehta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871856948 PECOS PAC ID: 2668761727 Enrollment ID: I20170821002140 |
| Provider Name | Rachel M Matthews |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396185708 PECOS PAC ID: 5092089821 Enrollment ID: I20170918002987 |
| Provider Name | Dina Kassab |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205273315 PECOS PAC ID: 9032415633 Enrollment ID: I20171009003374 |
| Provider Name | Erin J Bouhana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588003966 PECOS PAC ID: 2769626449 Enrollment ID: I20180123003237 |
| Provider Name | Leo Edward Reap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568844082 PECOS PAC ID: 0345501144 Enrollment ID: I20180219000037 |
| Provider Name | Christopher Lai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972827871 PECOS PAC ID: 5890003529 Enrollment ID: I20180305001760 |
| Provider Name | Rosalie Patero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407384167 PECOS PAC ID: 1658518238 Enrollment ID: I20180405000023 |
| Provider Name | Nathan Evin Marshall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548529639 PECOS PAC ID: 5799917605 Enrollment ID: I20180628003135 |
| Provider Name | Merna Jarbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841726833 PECOS PAC ID: 1355699877 Enrollment ID: I20180731002318 |
| Provider Name | Alisha Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184153801 PECOS PAC ID: 7911263082 Enrollment ID: I20190306001491 |
| Provider Name | Simisola M Caxton-idowu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700268547 PECOS PAC ID: 3375835689 Enrollment ID: I20190528001608 |
| Provider Name | Nicholas D Sousa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134533912 PECOS PAC ID: 0345549911 Enrollment ID: I20190621001290 |
| Provider Name | Aylin Deniz Downey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306223839 PECOS PAC ID: 3072817774 Enrollment ID: I20190805001239 |
| Provider Name | Robert G Dekker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023350493 PECOS PAC ID: 7416252234 Enrollment ID: I20190813000334 |
| Provider Name | Sawsan W Jamil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790942993 PECOS PAC ID: 8022246354 Enrollment ID: I20191008003858 |
| Provider Name | Alan H Klein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609877463 PECOS PAC ID: 3173663457 Enrollment ID: I20200413001398 |
| Provider Name | Fawaz Jan Syril Georgie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932561982 PECOS PAC ID: 4688968209 Enrollment ID: I20200421000695 |
| Provider Name | Jade N Balasz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780122036 PECOS PAC ID: 4486924487 Enrollment ID: I20200715003008 |
| Provider Name | Madeleine Mae Mcmall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306373428 PECOS PAC ID: 4880012574 Enrollment ID: I20200911001972 |
| Provider Name | Timothy Dekker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538516646 PECOS PAC ID: 1557655982 Enrollment ID: I20200917003178 |
| Provider Name | Sachin V Patil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821355363 PECOS PAC ID: 5799051256 Enrollment ID: I20210106001522 |
| Provider Name | Philip Ross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689086373 PECOS PAC ID: 8123326147 Enrollment ID: I20210205002035 |
| Provider Name | Dustin Taylor Harmon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801215058 PECOS PAC ID: 1759684665 Enrollment ID: I20210603001442 |
| Provider Name | Lisa Virginia Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457983710 PECOS PAC ID: 6709287220 Enrollment ID: I20210622001309 |
| Provider Name | Lisa Maria Parker |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1386031185 PECOS PAC ID: 4486968765 Enrollment ID: I20210623003409 |
| Provider Name | Waleed Raheem Abood Abood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083065148 PECOS PAC ID: 8921391624 Enrollment ID: I20220511001555 |
| Provider Name | Kevin Dwight Morton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356793269 PECOS PAC ID: 9234424946 Enrollment ID: I20220526001257 |
| Provider Name | Christopher T Isham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265921753 PECOS PAC ID: 2264787100 Enrollment ID: I20220603002055 |
| Provider Name | Heather Maureen Buchel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194477158 PECOS PAC ID: 6507238136 Enrollment ID: I20230208001797 |
| Provider Name | Derek Grayson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932652351 PECOS PAC ID: 2264728799 Enrollment ID: I20240314000460 |
| Provider Name | Kalyan Chakravarthy Yarraguntla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508353145 PECOS PAC ID: 8527392893 Enrollment ID: I20240515004143 |
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 |