| Dr Bruce Alan Cassidy, DO | |
|
28080 Grand River Ave Ste 208n, Farmington Hills, MI 48336-5966 | |
| (248) 308-2604 | |
| (248) 308-2608 |
| Full Name | Dr Bruce Alan Cassidy |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 28080 Grand River Ave Ste 208n, Farmington Hills, 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 |
|---|---|---|---|
| 1770568198 | NPI | - | NPPES |
| N89000001 | Other | MI | MEDICARE PTAN |
| 114334390 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101013348 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Angela Hospice Home Care | Livonia, MI | Hospice |
| Erie West Hospice And Palliative Care | Monroe, MI | Hospice |
| Beaumont Hospital - Farmington Hills | Farmington hills, MI | Hospital |
| Garden City Hospital | Garden city, MI | Hospital |
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Wellspring Lutheran Nursing And Rehab Services | Monroe, MI | Nursing home |
| Fountain View Of Monroe | Monroe, MI | Nursing home |
| Fountain Bleu Health And Rehabilitation Center | Livonia, MI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bruce A Cassidy Do Pc | 6709869365 | 2 |
| Entity Name | Bruce A Cassidy Do Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053409268 PECOS PAC ID: 6709869365 Enrollment ID: O20040612000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce Alan Cassidy, DO 28080 Grand River Ave Ste 208n, Farmington Hills, MI 48336-5966 Ph: (248) 308-2604 | Dr Bruce Alan Cassidy, DO 28080 Grand River Ave Ste 208n, Farmington Hills, MI 48336-5966 Ph: (248) 308-2604 |
Kali Gray, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-417-8000 | |
Dr. Jyothsna Yalavarthi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 734-464-0887 Fax: 734-402-0254 | |
Dr. Roberto Mauro Gamarra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30055 Northwestern Hwy, Suite 250, Farmington Hills, MI 48334 Phone: 248-985-5000 Fax: 248-985-5500 | |
Dr. Jared Grodman, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23133 Orchard Lake Rd Ste 200, Farmington Hills, MI 48336 Phone: 248-579-9220 | |
Larry A Wickless, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 28080 Grand River Ave, Suite 306, Farmington Hills, MI 48336 Phone: 248-471-8982 Fax: 248-426-7350 | |
Dr. Shironda Nakia Stewart, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28100 Grand River Ave Ste 314s, Farmington Hills, MI 48336 Phone: 947-521-1549 | |
Alabbas Alaamili, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 |