| Dr Fawad H Rizvi, DO | |
|
23800 Orchard Lake Rd Ste 200, Farmington Hills, MI 48336-2562 | |
| (248) 654-8492 | |
| (248) 710-2200 |
| Full Name | Dr Fawad H Rizvi |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 20 Years |
| Location | 23800 Orchard Lake Rd Ste 200, Farmington Hills, 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 |
|---|---|---|---|
| 1700107349 | NPI | - | NPPES |
| 12149649 | Other | MI | CAQH |
| 1700107349 | Other | MI | BCBS TYPE 1 (IND) NPI # |
| MI3786-001 | Other | MI | MEDICARE IND PIN # |
| 5101016547 | Other | MI | STATE LICENSE # |
| 5820929 | Other | MI | BCBS TYPE 1 PIN # IND |
| 5315047618 | Other | MI | CDS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 5101016547 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Pain Solutions Pllc | 0547440745 | 7 |
| Dearborn Physical Therapy Ltd | 2668383910 | 70 |
| Pain Clinic Management Group Pllc | 9537308192 | 12 |
| Entity Name | Comprehensive Pain Solutions Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437478716 PECOS PAC ID: 0547440745 Enrollment ID: O20110204000542 |
| Entity Name | Detroit Anesthesia Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316212988 PECOS PAC ID: 3173789088 Enrollment ID: O20120723000043 |
| Entity Name | Pain Clinic Management Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225302821 PECOS PAC ID: 9537308192 Enrollment ID: O20130612000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fawad H Rizvi, DO 23800 Orchard Lake Rd Ste 200, Farmington Hills, MI 48336-2562 Ph: (248) 654-8492 | Dr Fawad H Rizvi, DO 23800 Orchard Lake Rd Ste 200, Farmington Hills, MI 48336-2562 Ph: (248) 654-8492 |
Dr. Miss Wednesday Hall, D.O. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 32300 Northwestern Hwy Ste 200, Farmington Hills, MI 48334 Phone: 248-574-9534 | |
Dennis William Dobritt, DO Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 32255 Northwestern Hwy Ste 165, Farmington Hills, MI 48334 Phone: 248-735-8272 Fax: 248-735-7276 |