| Dr Amy Kodrik, DO | |
|
25150 Ford Rd Ste 100, Dearborn Heights, MI 48127-3163 | |
| (248) 553-0010 | |
| (248) 553-5957 |
| Full Name | Dr Amy Kodrik |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 25 Years |
| Location | 25150 Ford Rd Ste 100, Dearborn Heights, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457321184 | NPI | - | NPPES |
| 4762823 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 015030 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Beaumont Hospital - Farmington Hills | Farmington hills, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Glendale Neurological Associates Pc | 5294778833 | 40 |
| Entity Name | Glendale Neurological Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639134414 PECOS PAC ID: 5294778833 Enrollment ID: O20050606000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amy Kodrik, DO 28595 Orchard Lake Rd, Suite 200, Farmington Hills, MI 48334-2977 Ph: (248) 553-0010 | Dr Amy Kodrik, DO 25150 Ford Rd Ste 100, Dearborn Heights, MI 48127-3163 Ph: (248) 553-0010 |
Dr. Jake Katzman, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25150 Ford Rd Ste 100, Dearborn Heights, MI 48127 Phone: 248-553-0010 Fax: 248-553-5957 | |
Dr. Jonathan Robert Doty, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2515 Ford Road, Suite 100, Dearborn Heights, MI 48127 Phone: 248-553-0010 Fax: 248-553-5957 | |
Dr. Samir Sotouhi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 20225 Ann Arbor Trl Ste 100, Dearborn Heights, MI 48127 Phone: 313-581-0003 Fax: 313-581-3399 |