| Greenfield Medical Center Of Dearborn, P.c. | |
|
5479 Schaefer Rd Dearborn MI 48126-3222 | |
| (313) 581-2121 | |
| (313) 581-9206 |
| Full Name | Greenfield Medical Center Of Dearborn, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5479 Schaefer Rd, Dearborn, Michigan |
| Authorized Official Name and Position | Mohamad Khansa (PHYSICIAN OWNER) |
| Authorized Official Contact | 3135812121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenfield Medical Center Of Dearborn, P.c. 5479 Schaefer Rd Dearborn MI 48126-3222 Ph: (313) 581-2121 | Greenfield Medical Center Of Dearborn, P.c. 5479 Schaefer Rd Dearborn MI 48126-3222 Ph: (313) 581-2121 |
| NPI Number | 1033389606 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 09/11/2008 |
| Medicare PECOS PAC ID | 4981771912 |
|---|---|
| Medicare Enrollment ID | O20080917000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033389606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301062443 (Michigan) | Primary |
| Provider Name | Mary Louise Lewis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619917168 PECOS PAC ID: 2264446996 Enrollment ID: I20060201000444 |
| Provider Name | Rula N Al-aouar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700907144 PECOS PAC ID: 1759478050 Enrollment ID: I20071102000549 |
| Provider Name | Mohamad R Khansa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396782694 PECOS PAC ID: 6103837919 Enrollment ID: I20080917000418 |
| Provider Name | Jamal F Saleh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306112776 PECOS PAC ID: 7517190168 Enrollment ID: I20160715000532 |
Infinity Visiting Physicians Associate Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5245 Schaefer Rd Ste D, Dearborn, MI 48126 Phone: 248-862-5311 | |
Dearborn Family Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3133 S Telegraph Rd, Dearborn, MI 48124 Phone: 313-565-6566 Fax: 313-561-5554 | |
W.j. Ringold M.d.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Monroe St, Dearborn, MI 48124 Phone: 313-562-9100 Fax: 313-562-5851 | |
Dearborn Internist P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10066 Dix Ave, Suite 100, Dearborn, MI 48120 Phone: 313-849-4949 Fax: 313-849-0469 | |
Positron Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6437 Argyle St, Dearborn, MI 48126 Phone: 650-503-9990 | |
Henry Ford Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5111 Auto Club Dr, Suite 112, Dearborn, MI 48126 Phone: 313-317-2000 Fax: 313-317-2090 | |
Michigan Medical Services Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13530 Michigan Ave, Dearborn, MI 48126 Phone: 313-945-0075 |