| Diane M Jackson-richards, MD | |
|
6777 W Maple Rd, West Bloomfield, MI 48322-3013 | |
| (248) 661-6477 | |
| (248) 661-6453 |
| Full Name | Diane M Jackson-richards |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 45 Years |
| Location | 6777 W Maple Rd, West Bloomfield, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992883029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 46095 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health System | 0547178311 | 2304 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730252339 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000124 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane M Jackson-richards, MD 6777 W Maple Rd, West Bloomfield, MI 48322-3013 Ph: (248) 661-6477 | Diane M Jackson-richards, MD 6777 W Maple Rd, West Bloomfield, MI 48322-3013 Ph: (248) 661-6477 |
Tarana Marie Mohammadi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5839 W Maple Rd Ste 109, West Bloomfield, MI 48322 Phone: 248-855-7500 Fax: 248-855-5627 | |
Mrs. Suzanne Merkle, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6330 Orchard Lake Rd, #120, West Bloomfield, MI 48322 Phone: 248-855-3366 Fax: 248-855-6213 | |
Ronald David Kerwin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6330 Orchard Lake Rd, # 120, West Bloomfield, MI 48322 Phone: 248-855-3366 Fax: 248-855-6213 | |
Dr. Leonard M Cetner, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6330 Orchard Lake Rd, Suite 120, West Bloomfield, MI 48322 Phone: 248-855-3366 Fax: 248-855-6213 | |
Dr. Roxana L Chapman, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6900 Orchard Lake Rd, Ste 209, West Bloomfield, MI 48322 Phone: 248-855-7500 Fax: 248-855-5627 | |
Linda F. Stein Gold, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 Phone: 248-661-6450 Fax: 248-661-6649 | |
Dr. Kay Elizabeth Watnick, MD Dermatology Medicare: Medicare Enrolled Practice Location: 5839 W Maple Rd Ste 109, West Bloomfield, MI 48322 Phone: 248-855-7500 Fax: 248-855-5627 |