| David Alejandro Rico Mora, MD | |
|
2799 W Grand Blvd, Detroit, MI 48202-2608 | |
| (313) 916-8445 | |
| (313) 916-9434 |
| Full Name | David Alejandro Rico Mora |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 15 Years |
| Location | 2799 W Grand Blvd, Detroit, 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 |
|---|---|---|---|
| 1760867261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4301108009 (Michigan) | Secondary |
| 207L00000X | Anesthesiology | 104807 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Choa Hospital Based, Llc | 4688812498 | 97 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Emory Specialty Associates, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Entity Name | Choa Hospital Based, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457695488 PECOS PAC ID: 4688812498 Enrollment ID: O20130605000601 |
| Entity Name | Children's Anesthesia Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437203098 PECOS PAC ID: 5092105932 Enrollment ID: O20211208000072 |
| Mailing Address | Practice Location Address |
|---|---|
| David Alejandro Rico Mora, MD 1118 N Campbell Rd Apt 221, Royal Oak, MI 48067-1541 Ph: (786) 556-2065 | David Alejandro Rico Mora, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-8445 |
Chisaokwu Duru, Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-7233 |
Dr. Puja Laroia, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4201 Saint Antoine St, Detroit, MI 48201 Phone: 313-745-5146 |
Dr. Daniel S Rana, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 |
Dr. Samir F Fuleihan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8521 |
Dr. Srilatha Mallu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202 Phone: 313-916-4872 |
Charbel Barrak, DO Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-8445 |
Muthuvasuki Veerappan, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7733 E Jefferson Ave, Detroit, MI 48214 Phone: 313-499-4254 |