| Dr David Jonathan Testrake, MD | |
|
5333 Mcauley Drive, Suite 2115, Ypsilanti, MI 48197 | |
| (734) 712-3971 | |
| (734) 887-8941 |
| Full Name | Dr David Jonathan Testrake |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 12 Years |
| Location | 5333 Mcauley Drive, Ypsilanti, 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 |
|---|---|---|---|
| 1235549684 | NPI | - | NPPES |
| 200099164 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | 4301513503 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Health At Home- Southeast Michigan | Livonia , MI | Home health agency |
| Trinity Health Ann Arbor Hospital | Ypsilanti, MI | Hospital |
| Trinity Health Livonia Hospital | Livonia, MI | Hospital |
| Trinity Health Livingston Hospital | Howell, MI | Hospital |
| Chelsea Hospital | Chelsea, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iha Olma Specialty 1 Llc | 6901206689 | 67 |
| Iha Health Services Corporation | 2466351440 | 1149 |
| 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 | Iha Olma Specialty 1 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891371118 PECOS PAC ID: 6901206689 Enrollment ID: O20210617000949 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Jonathan Testrake, MD 24 Frank Lloyd Wright Drive, Suite J2000, Ann Arbor, MI 48105 Ph: (734) 747-6766 | Dr David Jonathan Testrake, MD 5333 Mcauley Drive, Suite 2115, Ypsilanti, MI 48197 Ph: (734) 712-3971 |
Mr. Chinmaya Suhas Shelgikar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5325 Elliott Dr, Suite 104, Ypsilanti, MI 48197 Phone: 734-712-8150 Fax: 734-712-8157 |
Mary-margaret Brandt, MD, MHSA Surgery Medicare: Medicare Enrolled Practice Location: 5301 E. Huron River Dr., Ypsilanti, MI 48197 Phone: 734-712-7017 Fax: 734-712-2844 |
Justin L Chamberlain, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Iha General Surgery, 5325 Elliott Drive Suite 104, Ypsilanti, MI 48197 Phone: 734-712-8150 Fax: 734-887-8939 |
Dr. Harry L Anderson Iii, MD Surgery Medicare: Medicare Enrolled Practice Location: 5301 Mcauley Dr, Surgical Critical Care, Ste 2482, Ypsilanti, MI 48197 Phone: 734-712-2808 Fax: 734-712-2844 |
Marisa O'neill, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 5320 Elliott Drive, Suite 203, Ypsilanti, MI 48197 Phone: 734-712-1700 Fax: 734-887-8938 |
Mariana Tumminello, Surgery Medicare: Not Enrolled in Medicare Practice Location: 5333 Mcauley Dr Rm 2111, Ypsilanti, MI 48197 Phone: 734-712-2563 Fax: 734-712-8777 |
Kurt A Kralovich, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5301 E. Huron River Dr., Ypsilanti, MI 48197 Phone: 734-712-7017 Fax: 734-712-2844 |