| Dr Anil K Jain, MD | |
|
4483 Laurel Club Cir Apt 25, West Bloomfield, MI 48323-2905 | |
| (734) 751-3037 | |
| (734) 591-3182 |
| Full Name | Dr Anil K Jain |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4483 Laurel Club Cir Apt 25, West Bloomfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013027309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | DR.0061010 (Colorado) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301048210 (Michigan) | Secondary |
| Entity Name | State Of Michigan Office Of Financial Management |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508883299 PECOS PAC ID: 5496650723 Enrollment ID: O20040114000603 |
| Entity Name | Mclaren Port Huron |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386888170 PECOS PAC ID: 9931018702 Enrollment ID: O20040204000779 |
| Entity Name | Pine Rest Christian Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851309884 PECOS PAC ID: 4981506508 Enrollment ID: O20040216000878 |
| Entity Name | St Mary Mercy Physician Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568630077 PECOS PAC ID: 4587742804 Enrollment ID: O20080425000614 |
| Entity Name | St Mary Mercy Hospital Professional |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528145554 PECOS PAC ID: 2365521226 Enrollment ID: O20080502000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anil K Jain, MD 300 Cornell St, Canton, MI 48188-1000 Ph: (734) 751-3037 | Dr Anil K Jain, MD 4483 Laurel Club Cir Apt 25, West Bloomfield, MI 48323-2905 Ph: (734) 751-3037 |
Dr. Elizabeth C. Smith, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5777 West Maple Rd., Suite 170, West Bloomfield, MI 48322 Phone: 248-855-0077 Fax: 248-855-0042 | |
Dr. Sally Jane Rosenberg, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3150 Gilbert Ridge Dr, West Bloomfield, MI 48322 Phone: 248-626-7735 Fax: 248-851-0259 | |
Linda Waldman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5665 W Maple, #a, West Bloomfield, MI 48322 Phone: 248-626-8884 | |
Lauren Ghannam, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-1000 | |
Dr. Channing Lipson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2095 Bordeaux St, West Bloomfield, MI 48323 Phone: 248-737-1984 | |
Dr. Joshua Steven Hales, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7100 Berryhill St, West Bloomfield, MI 48322 Phone: 248-847-0070 |