| Dr Eric S Stover, DO | |
|
4700 Schaefer Rd., Dearborn, MI 48126-3698 | |
| (313) 581-2600 | |
| (313) 581-0228 |
| Full Name | Dr Eric S Stover |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 4700 Schaefer Rd., Dearborn, 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 |
|---|---|---|---|
| 1194787085 | NPI | - | NPPES |
| 1194787085 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 5101015292 (Michigan) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 5101015292 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hills & Dales General Hospital | Cass city, MI | Hospital |
| Mclaren Oakland | Pontiac, MI | Hospital |
| Mclaren Lapeer Region | Lapeer, MI | Hospital |
| Marlette Regional Hospital | Marlette, MI | Hospital |
| Surgeons Choice Medical Center | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Oakland North Macomb Imaging Inc | 3476526963 | 4 |
| Mclaren Medical Group | 3971416082 | 314 |
| Kellam And Associates Pc | 6204830649 | 14 |
| Southfield Rehabilitation Company | 6709872617 | 5 |
| Thumb Radiology Pc | 8527587385 | 4 |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Entity Name | North Oakland North Macomb Imaging Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407842586 PECOS PAC ID: 3476526963 Enrollment ID: O20040813000422 |
| Entity Name | Southfield Rehabilitation Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790785095 PECOS PAC ID: 6709872617 Enrollment ID: O20060414000038 |
| Entity Name | Kellam & Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366472029 PECOS PAC ID: 6204830649 Enrollment ID: O20060828000091 |
| Entity Name | Thumb Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235937913 PECOS PAC ID: 8527587385 Enrollment ID: O20250523002058 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric S Stover, DO 200 Oceangate, Suite 100, Long Beach, CA 90802-4317 Ph: (562) 499-6191 | Dr Eric S Stover, DO 4700 Schaefer Rd., Dearborn, MI 48126-3698 Ph: (313) 581-2600 |
Frankju A Arevalo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Dr. Rohan Lalith Deraniyagala, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 248-551-5490 | |
Jerry W Drake, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Hassan Hamadi, DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Joon K Kim, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Sophia M Roumanis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Michael F Zydeck, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 |