| Dr Edward Nazareno, MD | |
|
13650 Fort St, Southgate, MI 48195-1152 | |
| (734) 281-2150 | |
| (734) 281-9142 |
| Full Name | Dr Edward Nazareno |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 13650 Fort St, Southgate, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679645972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301067719 (Michigan) | Primary |
| Entity Name | Southfort Family Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184801318 PECOS PAC ID: 9931284817 Enrollment ID: O20080318000073 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Nazareno, MD 13650 Fort St, Southgate, MI 48195-1152 Ph: (734) 281-2150 | Dr Edward Nazareno, MD 13650 Fort St, Southgate, MI 48195-1152 Ph: (734) 281-2150 |
Dr. John Renaldson Orelien, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15777 Northline Rd Ste 202, Southgate, MI 48195 Phone: 734-246-8100 | |
Dr. Amal Mohamed Ali Abdul-hussein, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12815 Northline Rd, Southgate, MI 48195 Phone: 734-284-2090 | |
Lauren Ashley Bauer, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 15777 Northline Rd Ste 202, Southgate, MI 48195 Phone: 734-246-8100 Fax: 734-246-8621 | |
Aaron J Blanzy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14319 Dix-toledo Rd, Southgate, MI 48195 Phone: 734-285-0677 Fax: 734-285-3574 | |
Angela Moughni, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14319 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-285-0677 Fax: 734-285-3574 | |
Christine Climie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15777 Northline Rd, Southgate, MI 48195 Phone: 734-246-8100 | |
Thomas M Pinson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13636 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-283-2262 Fax: 734-283-8121 |