| Dr Edward James Mauch, MD | |
|
4201 Saint Antoine St, Drh 3l-8, Dept Of Radiology, Detroit, MI 48201-2153 | |
| (313) 745-3430 | |
| Not Available |
| Full Name | Dr Edward James Mauch |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 4201 Saint Antoine St, Detroit, 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 |
|---|---|---|---|
| 1063628154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301081864 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Port Huron | Port huron, MI | Hospital |
| Ascension River District Hospital | East china, MI | Hospital |
| Mckenzie Health System | Sandusky, MI | Hospital |
| Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
| Chippewa County War Memorial Hospital | Sault sainte marie, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Group | 4981501939 | 184 |
| X-ray Associates Of Port Huron P C | 5395789531 | 28 |
| Entity Name | X-ray Associates Of Port Huron P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801967583 PECOS PAC ID: 5395789531 Enrollment ID: O20050617000539 |
| Entity Name | Mymichigan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689623506 PECOS PAC ID: 4981501939 Enrollment ID: O20060727000013 |
| Entity Name | Mawan Shuayto Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578819850 PECOS PAC ID: 3072764596 Enrollment ID: O20121109000580 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Entity Name | Synergy Radiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588229918 PECOS PAC ID: 2668727744 Enrollment ID: O20240715001325 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward James Mauch, MD 4415 Fox Hill Dr, Sterling Heights, MI 48310-3371 Ph: (313) 407-7950 | Dr Edward James Mauch, MD 4201 Saint Antoine St, Drh 3l-8, Dept Of Radiology, Detroit, MI 48201-2153 Ph: (313) 745-3430 |
Dr. Brent David Griffith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Kanika Khanna, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Michael Matthew Dominello, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 4100 John R, Detroit, MI 48201 Phone: 800-527-6266 Fax: 313-576-9640 | |
Rajinder P. Sharma, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Milan V. Pantelic, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Kristan Gail Jenkins-mosure, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Kristin Booth, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 517-402-1383 |