| Dr Jaclyn Milose, MD | |
|
18100 Oakwood Blvd Ste 315, Dearborn, MI 48124-4085 | |
| (313) 271-0066 | |
| (313) 271-1047 |
| Full Name | Dr Jaclyn Milose |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 17 Years |
| Location | 18100 Oakwood Blvd Ste 315, Dearborn, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073741187 | NPI | - | NPPES |
| 0E06273 | Other | MI | BCBSM |
| CB9133 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 4301117138 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Dearborn Hospital | Dearborn, MI | Hospital |
| Corewell Health William Beaumont University Hospit | Royal oak, MI | Hospital |
| Corewell Health Trenton Hospital | Trenton, MI | Hospital |
| Corewell Health Taylor Hospital | Taylor, MI | Hospital |
| Corewell Health Wayne Hospital | Wayne, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Institute Of Urology Pc | 1052223492 | 82 |
| Entity Name | Michigan Institute of Urology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427027416 PECOS PAC ID: 1052223492 Enrollment ID: O20031125000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jaclyn Milose, MD 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 Ph: (586) 771-4820 | Dr Jaclyn Milose, MD 18100 Oakwood Blvd Ste 315, Dearborn, MI 48124-4085 Ph: (313) 271-0066 |
Dr. Wassim Moussa Bazzi, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 18100 Oakwood Blvd Ste 315, Dearborn, MI 48124 Phone: 313-271-0066 Fax: 313-271-1047 |
Nivedita Dhar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124 Phone: 313-271-0430 Fax: 313-429-7941 |
Dr. Amarnath Rambhatla, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 18100 Oakwood Blvd, Ste 300, Dearborn, MI 48124 Phone: 313-271-0430 Fax: 313-429-7941 |
Dr. William G Nutting, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 18100 Oakwood Blvd, Suite 315, Dearborn, MI 48124 Phone: 313-271-0066 Fax: 313-271-1047 |
Jeffrey Alan Triest, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 18100 Oakwood Blvd Ste 315, Dearborn, MI 48124 Phone: 313-271-0066 Fax: 313-271-1047 |
Steven Mark Lucas, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124 Phone: 313-271-0430 Fax: 313-429-7941 |