| Ruth Barnett,do,pc | |
|
15121 W Mcnichols Rd Detroit MI 48235-3716 | |
| (313) 270-4450 | |
| (313) 270-4470 |
| Full Name | Ruth Barnett,do,pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15121 W Mcnichols Rd, Detroit, Michigan |
| Authorized Official Name and Position | Ruth Barnett (PHYSICIAN) |
| Authorized Official Contact | 3132704450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth Barnett,do,pc 15121 W Mcnichols Rd Detroit MI 48235-3716 Ph: (313) 270-4450 | Ruth Barnett,do,pc 15121 W Mcnichols Rd Detroit MI 48235-3716 Ph: (313) 270-4450 |
| NPI Number | 1124225602 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0840232104 |
|---|---|
| Medicare Enrollment ID | O20050526000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124225602 | NPI | - | NPPES |
| 5101009310 | Other | MI | LICENSE |
| 3360036 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101009310 (Michigan) | Primary |
| Provider Name | Ruth D Barnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306969944 PECOS PAC ID: 7618923525 Enrollment ID: I20050323001335 |
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