Mohamed Farrag, PHD | |
23400 Michigan Ave, Suite 405, Dearborn, MI 48124-1924 | |
(313) 730-8118 | |
Not Available |
Full Name | Mohamed Farrag |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 23400 Michigan Ave, Dearborn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770695157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (Michigan) | Primary |
Entity Name | Bcs Of Michigan Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164816195 PECOS PAC ID: 0840503652 Enrollment ID: O20150723007021 |
Mailing Address | Practice Location Address |
---|---|
Mohamed Farrag, PHD 1110 Eldon Baker Dr, Flint, MI 48507-1923 Ph: (810) 744-3600 | Mohamed Farrag, PHD 23400 Michigan Ave, Suite 405, Dearborn, MI 48124-1924 Ph: (313) 730-8118 |
Sara Pierce, M.S., TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064 | |
Ms. Jessica Dawn Clemons, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Parklane Blvd Ste 200e, Dearborn, MI 48126 Phone: 313-846-2606 Fax: 313-846-2657 | |
Yasmeen Saba El-masry, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064 | |
Mr. Giovanni Vitale Ii, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23061 Nona St, Dearborn, MI 48124 Phone: 313-969-7750 | |
Layla Obad, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064 | |
Laurene Saad-younis, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5808 Schaefer Rd, Dearborn, MI 48126 Phone: 313-467-4653 | |
Dr. Maritaconstance Supan, PH.D., LLP, DAPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 934 Mason St, Dearborn, MI 48124 Phone: 313-278-8053 Fax: 313-278-8053 |