| Daniel C Souphis, DO | |
|
4190 24th Ave, Fort Gratiot, MI 48059-3882 | |
| (810) 989-7788 | |
| (810) 989-7799 |
| Full Name | Daniel C Souphis |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 4190 24th Ave, Fort Gratiot, 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 |
|---|---|---|---|
| 1225004252 | NPI | - | NPPES |
| 1225004252 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101011575 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beacon Home Care | Port huron, MI | Home health agency |
| Vna Home Health Care | Port huron, MI | Home health agency |
| Mclaren Visiting Nurse & Hospice | Davison, MI | Hospice |
| Lake Huron Medical Center | Port huron, MI | Hospital |
| Mclaren Port Huron | Port huron, MI | Hospital |
| Medilodge Of Port Huron | Fort gratiot, MI | Nursing home |
| Marwood Manor Nursing Home | Port huron, MI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Healthcare Network Pc | 3476456252 | 30 |
| Entity Name | Physician Healthcare Network Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750334405 PECOS PAC ID: 3476456252 Enrollment ID: O20040129000586 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel C Souphis, DO 4190 24th Ave, Fort Gratiot, MI 48059-3882 Ph: (810) 989-7788 | Daniel C Souphis, DO 4190 24th Ave, Fort Gratiot, MI 48059-3882 Ph: (810) 989-7788 |
Farrukh Zaman Naqvi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 24th Ave, Fort Gratiot, MI 48059 Phone: 810-989-7788 Fax: 810-989-7799 | |
Dr. Rubaiya Faruque, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 24th Ave Ste 208, Fort Gratiot, MI 48059 Phone: 810-216-4400 | |
Dr. Julie A Boutt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4071 24th Ave, Fort Gratiot, MI 48059 Phone: 810-824-4222 Fax: 810-824-4220 | |
Christopher J Borgiel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 24th Ave, Fort Gratiot, MI 48059 Phone: 810-989-7788 Fax: 810-989-7799 | |
Gail F Mcintyre, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3061 Commerce Dr, Suite 5, Fort Gratiot, MI 48059 Phone: 810-385-6663 Fax: 810-385-6322 | |
Jude L Stratford, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3903 Stoney Ridge Dr, Fort Gratiot, MI 48059 Phone: 810-385-2295 |