Farmington Hills Internal Medicine | |
26206 W 12 Mile Rd Suite #200 Southfield MI 48034-1754 | |
(248) 827-4322 | |
(248) 827-7822 |
Full Name | Farmington Hills Internal Medicine |
---|---|
Speciality | Internal Medicine |
Location | 26206 W 12 Mile Rd, Southfield, Michigan |
Authorized Official Name and Position | Amos Charles Johnson (CEO & PRESIDENT) |
Authorized Official Contact | 2488274322 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Farmington Hills Internal Medicine 26206 W 12 Mile Rd Suite #200 Southfield MI 48034-1754 Ph: (248) 827-4322 | Farmington Hills Internal Medicine 26206 W 12 Mile Rd Suite #200 Southfield MI 48034-1754 Ph: (248) 827-4322 |
NPI Number | 1891957965 |
---|---|
Provider Enumeration Date | 06/30/2008 |
Last Update Date | 08/01/2017 |
Medicare PECOS PAC ID | 6103080270 |
---|---|
Medicare Enrollment ID | O20120621000369 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891957965 | NPI | - | NPPES |
0110634082 | Other | MI | BCBSM PIN |
0110930751 | Other | MI | BCBSM NEW INDIVIDUAL |
104099772 | Medicaid | MI | |
1891957965 | Other | MI | GROUP NPI |
0F39878 | Other | MI | BCBSM GROUP ID# |
1801805270 | Other | MI | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Amos C Johnson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801805270 PECOS PAC ID: 8325083876 Enrollment ID: I20050624000259 |
Med-share, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26222 Telegraph Rd, Suite 100, Southfield, MI 48033 Phone: 248-827-7200 Fax: 248-827-2641 | |
Caring Doctors At Home Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29600 Northwestern Highway, Suite 106, Southfield, MI 48034 Phone: 313-258-4855 | |
Maecenas Health Systems Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26677 W 12 Mile Rd, Southfield, MI 48034 Phone: 248-358-6995 | |
Ark Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-924-1429 Fax: 248-419-2431 | |
Laina Feinstein Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29829 Telegraph Rd, Suite 107, Southfield, MI 48034 Phone: 248-304-0786 Fax: 248-354-8559 | |
Magnum Managment Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17600 W 8 Mile Rd, Suite # 5, Southfield, MI 48075 Phone: 248-424-9749 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26185 Greenfield Rd, Southfield, MI 48076 Phone: 248-569-2040 Fax: 248-569-2048 |