| Dr Evan H Black, MD | |
|
4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201-1423 | |
| (313) 577-8900 | |
| (313) 577-0700 |
| Full Name | Dr Evan H Black |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 31 Years |
| Location | 4717 St. Antoine, 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 |
|---|---|---|---|
| 1932185089 | NPI | - | NPPES |
| 3462161 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | 4301071533 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Consultants In Ophthalmic And Facial Plastic Surgery | 4486637006 | 7 |
| Entity Name | Consultants In Ophthalmic & Facial Plastic Surgery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144256777 PECOS PAC ID: 4486637006 Enrollment ID: O20040612000281 |
| Entity Name | University Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Evan H Black, MD 1560 E Maple Rd, Suite 400-credentialing, Troy, MI 48083-1138 Ph: (313) 577-8900 | Dr Evan H Black, MD 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201-1423 Ph: (313) 577-8900 |
Dr. Murray Dale Christianson, M.D., F.R.C.S.(C), Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, Henry Ford Hospital, K-10, Detroit, MI 48202 Phone: 313-916-3730 | |
Deborah A. Darnley-fisch, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 Fax: 313-916-3235 | |
Dr. Daniel Seth Zuckerbrod, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 14400 West Mcnichols, Detroit, MI 48235 Phone: 313-341-3450 Fax: 313-341-2135 | |
Robert Neil Frank, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4717 St Antoine, Kresge Eye Institute, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700 | |
Dr. Hassan Ali Tokko, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4717 Saint Antoine St, Detroit, MI 48201 Phone: 313-577-7614 | |
Mark S Juzych, MD, MHSA Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: Kresge Eye Institute, 4717 St Antoine, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700 | |
William Robert Lucas Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4717 Saint Antoine St, Kresge Eye Institute, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700 |