| Primehealth Of Michigan Llc | |
|
3200 Greenfield Rd Ste 300 Dearborn MI 48120-1800 | |
| (844) 882-3127 | |
| Not Available |
| Full Name | Primehealth Of Michigan Llc |
|---|---|
| Speciality | Podiatrist |
| Location | 3200 Greenfield Rd Ste 300, Dearborn, Michigan |
| Authorized Official Name and Position | Kenneth King (OWNER) |
| Authorized Official Contact | 8448823127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primehealth Of Michigan Llc 2100 E Lake Cook Rd Ste 1000 Buffalo Grove IL 60089-1999 Ph: (844) 882-3127 | Primehealth Of Michigan Llc 3200 Greenfield Rd Ste 300 Dearborn MI 48120-1800 Ph: (844) 882-3127 |
| NPI Number | 1699228072 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 05/10/2018 |
| Medicare PECOS PAC ID | 3375830375 |
|---|---|
| Medicare Enrollment ID | O20160919001926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699228072 | NPI | - | NPPES |
| Provider Name | Martin B Rudick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831275759 PECOS PAC ID: 4880589522 Enrollment ID: I20040220000197 |
| Provider Name | James A Ness |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831230150 PECOS PAC ID: 3274509476 Enrollment ID: I20040909000072 |
| Provider Name | Gary L Stano |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669489449 PECOS PAC ID: 8123054871 Enrollment ID: I20050713000931 |
| Provider Name | Allan L Kalmus |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659360212 PECOS PAC ID: 0345259206 Enrollment ID: I20060420000512 |
| Provider Name | Ronald G Hageman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245249192 PECOS PAC ID: 2466462221 Enrollment ID: I20060426000309 |
| Provider Name | Edward P Abegg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245242320 PECOS PAC ID: 9830385251 Enrollment ID: I20101124001031 |
| Provider Name | Ronald Morse |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144377979 PECOS PAC ID: 3779779087 Enrollment ID: I20101129001038 |
| Provider Name | Robert M Bester |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194940106 PECOS PAC ID: 6608923131 Enrollment ID: I20130909000654 |
| Provider Name | William H Frey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851467286 PECOS PAC ID: 9638278963 Enrollment ID: I20151124000519 |
| Provider Name | Sukhmandeep Kaur Bhandal |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1720596737 PECOS PAC ID: 3476888298 Enrollment ID: I20190716000804 |
| Provider Name | Tommy Kennedy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104351956 PECOS PAC ID: 1557632148 Enrollment ID: I20190822000773 |
| Provider Name | Lynn Carole Gill |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730321555 PECOS PAC ID: 5597191122 Enrollment ID: I20200130001276 |
| Provider Name | Jaana S Ashtiani-zarandi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427603083 PECOS PAC ID: 1951725407 Enrollment ID: I20200716003945 |
| Provider Name | Dennis Mcgrath |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598176091 PECOS PAC ID: 5294959276 Enrollment ID: I20201130001306 |
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