| Dr Douglas Joseph Boven Ii, MD | |
|
3535 W 13 Mile Rd Ste 437, Royal Oak, MI 48073-6770 | |
| (248) 288-2210 | |
| (248) 589-9875 |
| Full Name | Dr Douglas Joseph Boven Ii |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 13 Years |
| Location | 3535 W 13 Mile Rd Ste 437, Royal Oak, 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 |
|---|---|---|---|
| 1255696092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 4301101231 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lmt Rehabilitation Associates Pc | 0446265268 | 25 |
| Entity Name | Oakwood Ambulatory Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401 |
| Entity Name | Lmt Rehabilitation Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154372746 PECOS PAC ID: 0446265268 Enrollment ID: O20071113000156 |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas Joseph Boven Ii, MD 30701 Barrington St Ste 150, Madison Heights, MI 48071-5135 Ph: (248) 616-1170 | Dr Douglas Joseph Boven Ii, MD 3535 W 13 Mile Rd Ste 437, Royal Oak, MI 48073-6770 Ph: (248) 288-2210 |
Samantha Emily Danto, DO Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-0161 | |
Neeraj Padmanabhan, DO Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Kevin Mattar, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Dr. Ronald S Taylor, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3535 W 13 Mile Rd, Ste 437, Royal Oak, MI 48073 Phone: 248-288-2210 Fax: 248-280-0505 | |
Dr. Julie Ann Ferris, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3535 W 13 Mile Rd, Suite 437, Royal Oak, MI 48073 Phone: 248-288-2210 Fax: 248-589-9875 | |
Dr. Myron M Laban, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd, Ste 437, Royal Oak, MI 48073 Phone: 248-288-2210 Fax: 248-280-0505 | |
Michael W Garmo, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3601 West Thirteen Mile Road, Royal Oak, MI 48073 Phone: 248-630-6229 |