| Bassam N Bashour, MD | |
|
Henry Ford Health System, 29200 Schoolcraft, Livonia, MI 48150 | |
| (734) 523-1050 | |
| (734) 523-2464 |
| Full Name | Bassam N Bashour |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | Henry Ford Health System, Livonia, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427105220 | NPI | - | NPPES |
| BB031346 | Other | CHAMPUS-CHAMPUS | |
| BB031346 | Other | COMMERCIAL-COMMERCIAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 4301031346 (Michigan) | Primary |
| 208000000X | Pediatrics | 4301031346 (Michigan) | Secondary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Bassam N Bashour, MD Henry Ford Health System, 29200 Schoolcraft, Livonia, MI 48150 Ph: (734) 523-1050 | Bassam N Bashour, MD Henry Ford Health System, 29200 Schoolcraft, Livonia, MI 48150 Ph: (734) 523-1050 |
Mark Gregory Marrone, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 18302 Middlebelt Rd, Livonia, MI 48152 Phone: 248-478-1500 Fax: 248-478-2798 | |
Ali Jafri, DO Nephrology Medicare: May Accept Medicare Assignments Practice Location: Iha Northwest Livonia Primary Care 37595 Seven Mile Rd, Livonia, MI 48152 Phone: 734-793-2470 | |
Jay Maurice Daitch, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 20206 Farmington Rd, Livonia, MI 48152 Phone: 248-476-4724 Fax: 248-476-7091 | |
Dr. Mark R. Villeneuve, MD Nephrology Medicare: Medicare Enrolled Practice Location: 14555 Levan Rd, Suite 202, Livonia, MI 48154 Phone: 734-542-4470 Fax: 734-542-4475 | |
Dr. John Krausman, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 20000 Farmington Rd, Bldg. E, Livonia, MI 48152 Phone: 248-474-1144 Fax: 248-474-1548 | |
Justin Cykiert, Nephrology Medicare: May Accept Medicare Assignments Practice Location: 20317 Farmington Rd, Livonia, MI 48152 Phone: 248-615-0777 | |
Mark A Rasak, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 17880 Farmington Rd, Livonia, MI 48152 Phone: 248-615-7300 Fax: 248-615-7333 |