| Christopher R Deangelis, DO | |
|
25000 Hall Rd, Ste 1, Trenton, MI 48183-5112 | |
| (734) 676-3373 | |
| (734) 676-2014 |
| Full Name | Christopher R Deangelis |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | 25000 Hall Rd, Trenton, 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 |
|---|---|---|---|
| 1629076450 | NPI | - | NPPES |
| P109110 | Other | BCN | |
| 38-3510876 | Other | TAX ID# | |
| 1172589003 | Other | CIGNA | |
| 5390707 | Other | AETNA | |
| 1158206834 | Other | BCBS | |
| C8111 | Other | M-CARE | |
| CD013396 | Other | STATE LIC# | |
| P127746 | Other | CARE CHOICES | |
| 110218319 | Other | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | CD013396 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Beaumont Hospital - Trenton | Trenton, MI | Hospital |
| Beaumont Hospital - Taylor | Taylor, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baco Care Services Llc | 6103286737 | 9 |
| Main Street Physicians Pc | 6709125693 | 2 |
| Entity Name | Main Street Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952866808 PECOS PAC ID: 6709125693 Enrollment ID: O20190312001434 |
| Entity Name | Baco Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780294850 PECOS PAC ID: 6103286737 Enrollment ID: O20230714000925 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher R Deangelis, DO 25000 Hall Rd, Ste 1, Trenton, MI 48183-5112 Ph: (734) 676-3373 | Christopher R Deangelis, DO 25000 Hall Rd, Ste 1, Trenton, MI 48183-5112 Ph: (734) 676-3373 |
Dr. Mohsen Dourra, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Dr. Michael Ashbrook, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5400 Fort St Ste 110, Trenton, MI 48183 Phone: 248-898-4176 | |
Dr. Hussein Abu Daya, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5452 Fort St Ste 200, Trenton, MI 48183 Phone: 734-642-2668 | |
Madison Shivel, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 | |
Vatsal Acharya, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Marc Herschfus, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5452 Fort St Ste 200, Trenton, MI 48183 Phone: 734-642-2727 | |
Dr. Kajoor Sudhakara, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1675 Kingsway Ct, Trenton, MI 48183 Phone: 734-676-8530 Fax: 734-676-2319 |