| Brandon Sam Kakos, MD | |
|
28300 Orchard Lake Rd Ste 200, Farmington Hills, MI 48334-3704 | |
| (248) 539-8638 | |
| (248) 539-9045 |
| Full Name | Brandon Sam Kakos |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 16 Years |
| Location | 28300 Orchard Lake Rd Ste 200, Farmington Hills, 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 |
|---|---|---|---|
| 1366677437 | NPI | - | NPPES |
| 1366677437 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 35098143 (Ohio) | Secondary |
| 207RS0010X | Internal Medicine - Sports Medicine | 4301109849 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Providence - Crittenton Hospital Medical Center | Rochester, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Therapy Centers, Inc | 5092605717 | 90 |
| Vhs Physicians Of Michigan | 8921289760 | 212 |
| Entity Name | Vhs Physicians Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073827101 PECOS PAC ID: 8921289760 Enrollment ID: O20110225000849 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Sam Kakos, MD 28300 Orchard Lake Rd Ste 200, Farmington Hills, MI 48334-3704 Ph: (248) 539-8638 | Brandon Sam Kakos, MD 28300 Orchard Lake Rd Ste 200, Farmington Hills, MI 48334-3704 Ph: (248) 539-8638 |
Kali Gray, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-417-8000 | |
Dr. Jyothsna Yalavarthi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 734-464-0887 Fax: 734-402-0254 | |
Dr. Roberto Mauro Gamarra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30055 Northwestern Hwy, Suite 250, Farmington Hills, MI 48334 Phone: 248-985-5000 Fax: 248-985-5500 | |
Dr. Jared Grodman, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23133 Orchard Lake Rd Ste 200, Farmington Hills, MI 48336 Phone: 248-579-9220 | |
Larry A Wickless, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 28080 Grand River Ave, Suite 306, Farmington Hills, MI 48336 Phone: 248-471-8982 Fax: 248-426-7350 | |
Alabbas Alaamili, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 | |
Zachary Raad, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 |