| Dr Irvin J Gastman, DO, PHD | |
|
20901 W 7 Mile Rd, Detroit, MI 48219-1904 | |
| (313) 564-5510 | |
| (248) 336-9137 |
| Full Name | Dr Irvin J Gastman |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 48 Years |
| Location | 20901 W 7 Mile Rd, 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 |
|---|---|---|---|
| 1942263843 | NPI | - | NPPES |
| 1293005 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 5101007321 (Michigan) | Primary |
| 207Q00000X | Family Medicine | IG007321 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Exclusive Physicians Pllc | 9335279942 | 18 |
| Entity Name | Exclusive Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811226749 PECOS PAC ID: 9335279942 Enrollment ID: O20100608000793 |
| Entity Name | Michigan Healthcare Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Irvin J Gastman, DO, PHD 25241 Grand River Ave, Redford, MI 48240-1404 Ph: (313) 538-3800 | Dr Irvin J Gastman, DO, PHD 20901 W 7 Mile Rd, Detroit, MI 48219-1904 Ph: (313) 564-5510 |
Dr. Saleh Ali Ghaith, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 13575 Lesure St, Detroit, MI 48227 Phone: 313-493-4410 Fax: 313-493-4415 | |
Lynn M Donohue, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 3300 E Jefferson Ave Ste 100, Detroit, MI 48207 Phone: 313-656-1618 | |
Nikhil Goyal, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Cfp-259, Detroit, MI 48202 Phone: 313-916-3915 Fax: 313-916-7437 | |
Rasha Mohammed Abdulridha, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 4201 Saint Antoine St # 7a, Detroit, MI 48201 Phone: 248-822-9801 Fax: 313-966-8111 | |
James C. Bruestle, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-9106 Fax: 313-916-1249 | |
Dr. Joslyn Nicole Witherspoon, M.D., M.P.H. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 2799 W. Grand Boulevard, Henry Ford Hospital, Detroit, MI 48202 Phone: 313-916-1601 Fax: 313-916-8843 | |
Robert T Nolta, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 533 E Service Dr, Detroit, MI 48242 Phone: 734-941-1000 |