| Barbara Ann Karmanos Cancer Hospital | |
|
4100 John R St Mail Code: Uh050t Detroit MI 48201-2013 | |
| (313) 745-7094 | |
| Not Available |
| Full Name | Barbara Ann Karmanos Cancer Hospital |
|---|---|
| Speciality | Dentist |
| Location | 4100 John R St, Detroit, Michigan |
| Authorized Official Name and Position | Brian Gamble (CFO) |
| Authorized Official Contact | 3135768935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara Ann Karmanos Cancer Hospital 4100 John R St Mail Code: Uh050t Detroit MI 48201-2013 Ph: (313) 745-7094 | Barbara Ann Karmanos Cancer Hospital 4100 John R St Mail Code: Uh050t Detroit MI 48201-2013 Ph: (313) 745-7094 |
| NPI Number | 1801203583 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 02/12/2018 |
| Medicare PECOS PAC ID | 6800844499 |
|---|---|
| Medicare Enrollment ID | O20051101000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801203583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901014118 (Michigan) | Primary |
| Provider Name | Lynne Moseley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992755136 PECOS PAC ID: 8325335409 Enrollment ID: I20180417002696 |
| Provider Name | Midhat M Asfar |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891222816 PECOS PAC ID: 8224367081 Enrollment ID: I20210211002156 |
Advantage Health Centers Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15400 W Mcnichols Rd, Detroit, MI 48235 Phone: 313-416-6262 Fax: 313-221-8217 | |
Pdc Managemen Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5831 W Vernor Hwy, Detroit, MI 48209 Phone: 313-842-8300 Fax: 313-842-8530 | |
Smiley Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15510 Livernois Ave, Detroit, MI 48238 Phone: 313-863-2800 Fax: 313-863-5054 | |
Allenandallendental & Associates P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10720 W 7 Mile Road, Detroit, MI 48221 Phone: 313-345-4444 Fax: 313-345-4106 | |
Super Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15510 Livernois Ave, Detroit, MI 48238 Phone: 313-863-2800 | |
Megan M Faircloth Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3374 E Jefferson Ave, Detroit, MI 48207 Phone: 313-259-2410 | |
University Otolaryngology Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4201 Saint Antoine St, Suite 5g, Detroit, MI 48201 Phone: 313-745-4656 |