| Dr Eileen Marie Donovan, MD | |
|
18501 Rotunda Dr Ste 200, Dearborn, MI 48124-3891 | |
| (313) 996-1960 | |
| (313) 996-1965 |
| Full Name | Dr Eileen Marie Donovan |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine |
| Location | 18501 Rotunda Dr Ste 200, Dearborn, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730116682 | NPI | - | NPPES |
| 4301065585 | Other | MI | MEDICAL LICENSE, MI |
| 4409463 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P0010X | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine | 4304065585 (Michigan) | Primary |
| 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 | 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 Eileen Marie Donovan, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1863 | Dr Eileen Marie Donovan, MD 18501 Rotunda Dr Ste 200, Dearborn, MI 48124-3891 Ph: (313) 996-1960 |
Hi Joo Kim, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 17000 Hubbard Dr, Suite 800, Dearborn, MI 48126 Phone: 313-240-7595 Fax: 313-240-7599 | |
Miss Janice Chavez, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4945 Schaefer Rd, Dearborn, MI 48126 Phone: 313-581-0744 | |
Dr. Waris Hussain, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 856 Claremont St, Dearborn, MI 48124 Phone: 810-841-9077 | |
Renee Talaat Ishak Labib, RPT, CLT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5445 Oakman Blvd, Dearborn, MI 48126 Phone: 313-584-4625 Fax: 313-584-5676 | |
Dr. Riley M Smith, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 18181 Oakwood Blvd, Ste 411, Dearborn, MI 48124 Phone: 313-438-7373 Fax: 313-438-7375 | |
Dr. Melda Luzadas, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 15120 Michigan Ave, Dearborn, MI 48126 Phone: 313-582-1911 Fax: 313-582-8627 | |
Nicole Mokanyk, LPTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 15101 Ford Rd, Dearborn, MI 48126 Phone: 877-660-1807 |