Diego Hernandez, MD | |
44555 Woodward Ave, Suite 501, Pontiac, MI 48341-5031 | |
(248) 338-7171 | |
(248) 858-3888 |
Full Name | Diego Hernandez |
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Gender | Male |
Speciality | Vascular Surgery |
Experience | 30 Years |
Location | 44555 Woodward Ave, Pontiac, 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 |
---|---|---|---|
1356360143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 4301063339 (Michigan) | Primary |
208600000X | Surgery | 4301063339 (Michigan) | Secondary |
Entity Name | Bloomfield Vein & Vascular Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013309988 PECOS PAC ID: 2961715198 Enrollment ID: O20150717000220 |
Mailing Address | Practice Location Address |
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Diego Hernandez, MD Po Box 67000, Dept 83901, Detroit, MI 48267-0839 Ph: (248) 858-6144 | Diego Hernandez, MD 44555 Woodward Ave, Suite 501, Pontiac, MI 48341-5031 Ph: (248) 338-7171 |
Leith Isaac Brown, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Dr. Alicia Nicole Kieninger, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 44555 Woodward Ave, Suite 501, Pontiac, MI 48341 Phone: 248-338-7171 Fax: 248-858-3889 | |
Jason Djohn, Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3234 | |
Dr. Michael Maiden, DO Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave # H23, Pontiac, MI 48341 Phone: 617-721-2615 | |
Dr. Sai Santosh Sreenivasan, DO Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3234 | |
Lindsey Deborah Rieck, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Haley Carmen Lanser, Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave # H23, Pontiac, MI 48341 Phone: 248-858-3000 |