| Dr Gregg Polidori, MD | |
|
3535 W 13 Mile Rd, Ste 202, Royal Oak, MI 48073-6770 | |
| (248) 551-0900 | |
| (248) 551-0905 |
| Full Name | Dr Gregg Polidori |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 39 Years |
| Location | 3535 W 13 Mile Rd, Royal Oak, 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 |
|---|---|---|---|
| 1689665465 | NPI | - | NPPES |
| 2836230 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301407183 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Beaumont Hospital - Farmington Hills | Farmington hills, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oakland Gastroenterology Associates, P.c. | 7113981358 | 3 |
| Beaumont Medical Group- Specialty Services | 7214299866 | 804 |
| Entity Name | Oakland Gastroenterology Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508964511 PECOS PAC ID: 7113981358 Enrollment ID: O20041117000210 |
| 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 Gregg Polidori, MD 3535 W 13 Mile Rd, Ste 202, Royal Oak, MI 48073-6770 Ph: (248) 551-0900 | Dr Gregg Polidori, MD 3535 W 13 Mile Rd, Ste 202, Royal Oak, MI 48073-6770 Ph: (248) 551-0900 |
Rohma Shamsi, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-3850 | |
Nicole Marijanovich, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7999 Fax: 248-898-0580 | |
Vinayata Manuballa Kareti, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 661-948-0803 | |
Christopher Carpenter, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3535 W 13 Mile Rd Ste 605, Royal Oak, MI 48073 Phone: 248-551-0495 | |
Dr. Matthew Burns Cotant, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3577 W 13 Mile Rd, Suite 404, Royal Oak, MI 48073 Phone: 248-551-6900 Fax: 248-551-6909 | |
Taylor Schoenheit, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6509 | |
Shane Mckenna, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-3000 Fax: 248-551-9425 |