| Dominic Ernest Misiak, DO | |
|
44725 Grand River Ave Ste 104, Novi, MI 48375-1024 | |
| (517) 882-3732 | |
| Not Available |
| Full Name | Dominic Ernest Misiak |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 6 Years |
| Location | 44725 Grand River Ave Ste 104, Novi, 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 |
|---|---|---|---|
| 1164982328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5101026126 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Downriver Mental Health Clinic Pc | 7911995139 | 238 |
| Entity Name | Chelsea Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912947409 PECOS PAC ID: 0648171074 Enrollment ID: O20040119000004 |
| Entity Name | Downriver Mental Health Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic Ernest Misiak, DO 44725 Grand River Ave Ste 104, Novi, MI 48375-1024 Ph: (517) 882-3732 | Dominic Ernest Misiak, DO 44725 Grand River Ave Ste 104, Novi, MI 48375-1024 Ph: (517) 882-3732 |
Ingrid Zoraya Martinez-lyons, M.D, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 40000 Grand River Ave Ste 306, Novi, MI 48375 Phone: 248-426-9900 Fax: 248-426-9900 | |
Dr. Bernadette L. Angeles, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 42450 W 12 Mile Rd, 315, Novi, MI 48377 Phone: 248-513-4100 Fax: 248-513-4105 | |
Greta Park, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 39450 W 12 Mile Rd, Novi, MI 48377 Phone: 248-344-6688 | |
Dr. Vijay Samuel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 44000 W 12 Mile Rd., Ste 213, Novi, MI 48377 Phone: 248-347-8293 | |
Dr. Veronica Yap Tan, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 23354 Portage Way, Apt. 2212, Novi, MI 48375 Phone: 248-761-3939 | |
Dr. Shanti Renee Mitchell, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 39450 W 12 Mile Rd, Novi, MI 48377 Phone: 248-661-7393 |