| Dr Alexander Ajlouni, MD | |
|
24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 | |
| (586) 779-7970 | |
| (586) 779-7748 |
| Full Name | Dr Alexander Ajlouni |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 38 Years |
| Location | 24715 Little Mack Ave Ste 100, Saint Clair Shores, 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 |
|---|---|---|---|
| 1679500284 | NPI | - | NPPES |
| 1679500284 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 4301051183 (Michigan) | Secondary |
| 207L00000X | Anesthesiology | 4301051183 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Macomb | Mount clemens, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Macomb | 8921912791 | 114 |
| Entity Name | Mclaren Macomb |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396014601 PECOS PAC ID: 8921912791 Enrollment ID: O20040120001000 |
| Entity Name | Northland Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528001880 PECOS PAC ID: 5294623336 Enrollment ID: O20040309001092 |
| Entity Name | Michigan Pain Management Consultants, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922041755 PECOS PAC ID: 5092709428 Enrollment ID: O20040409000170 |
| Entity Name | Michigan Pain Management Consultants-west, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689862047 PECOS PAC ID: 2961580287 Enrollment ID: O20080425000600 |
| Entity Name | Providence Park Anesthesia Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942459672 PECOS PAC ID: 7315009479 Enrollment ID: O20081224000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alexander Ajlouni, MD 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-3207 Ph: (586) 779-7970 | Dr Alexander Ajlouni, MD 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Ph: (586) 779-7970 |
Dr. Ryan Christopher Pollina, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 25311 Little Mack Ave Ste B, Saint Clair Shores, MI 48081 Phone: 586-498-2400 | |
Matthew Vasko, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd, Suite 100, Saint Clair Shores, MI 48081 Phone: 313-343-4370 |