| Bushra Haider, MD | |
|
25650 Outer Dr, Lincoln Park, MI 48146-2096 | |
| (313) 383-1897 | |
| (313) 383-6018 |
| Full Name | Bushra Haider |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 25650 Outer Dr, Lincoln Park, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053470526 | NPI | - | NPPES |
| 000000169074 | Other | UNISON HEALTH PLAN | |
| 001653345 | Other | PA | HIGHMARK BLUE SHIELD |
| 1544126 | Other | GATEWAY HEALTH PLAN | |
| 1013394100001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301508003 (Michigan) | Primary |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Entity Name | C-assist |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194323154 PECOS PAC ID: 9436555612 Enrollment ID: O20210914001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Bushra Haider, MD 25650 Outer Dr, Lincoln Park, MI 48146-2096 Ph: (313) 383-1897 | Bushra Haider, MD 25650 Outer Dr, Lincoln Park, MI 48146-2096 Ph: (313) 383-1897 |
Dr. Theophilus Osayi Ulinfun, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 752 Southfield Rd, Lincoln Park, MI 48146 Phone: 313-388-1400 | |
Caroline Florescu, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1411 Russell Ave, Lincoln Park, MI 48146 Phone: 313-388-3628 | |
Florence Sri-tharan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2255 Fort St, Lincoln Park, MI 48146 Phone: 313-386-7500 Fax: 313-386-6447 | |
Deepthi Rajan, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2176 Fort St, Lincoln Park, MI 48146 Phone: 313-388-1666 | |
Luis Felipe Fanego, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3180 Fort St, Lincoln Park, MI 48146 Phone: 313-389-5588 Fax: 313-389-7075 | |
Dr. Joseph A George, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4006 Fort St, Lincoln Park, MI 48146 Phone: 313-386-3200 Fax: 313-388-3335 |