| Al Vito Lore, MD | |
|
7445 Allen Road Suite 190, Allen Park, MI 48101-4089 | |
| (313) 382-0244 | |
| (313) 382-1640 |
| Full Name | Al Vito Lore |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 6 Years |
| Location | 7445 Allen Road Suite 190, Allen Park, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043870751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301509730 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Beaumont Hospital - Taylor | Taylor, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jure Grahovac Md Pc | 3577655455 | 3 |
| Entity Name | Jure Grahovac Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629158167 PECOS PAC ID: 3577655455 Enrollment ID: O20070823000137 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Al Vito Lore, MD 7445 Allen Road Ste 190, Allen Park, MI 48101-1993 Ph: (313) 382-0244 | Al Vito Lore, MD 7445 Allen Road Suite 190, Allen Park, MI 48101-4089 Ph: (313) 382-0244 |
Elias G Gennaoui, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 14825 Southfield Rd, Allen Park, MI 48101 Phone: 313-386-3930 Fax: 313-386-0962 | |
Mansuk Chae, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7445 Allen Rd, Suite 180, Allen Park, MI 48101 Phone: 313-383-4833 | |
Megan Nagy, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7940 Allen Rd, Allen Park, MI 48101 Phone: 313-928-3200 Fax: 313-928-0246 | |
Ali H Mehram, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7940 Allen Rd, Allen Park, MI 48101 Phone: 313-928-3200 Fax: 313-928-0246 |