| Dr Jason Michael Sandberg, MD | |
|
130 Town Center Dr Ste 101, Troy, MI 48084-1744 | |
| (248) 740-0670 | |
| (248) 740-1668 |
| Full Name | Dr Jason Michael Sandberg |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 12 Years |
| Location | 130 Town Center Dr Ste 101, Troy, 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 |
|---|---|---|---|
| 1386064939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 4301501364 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Beaumont Hospital - Farmington Hills | Farmington hills, MI | Hospital |
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Institute Of Urology Pc | 1052223492 | 77 |
| 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 |
| 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 Jason Michael Sandberg, MD 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 Ph: (586) 771-4820 | Dr Jason Michael Sandberg, MD 130 Town Center Dr Ste 101, Troy, MI 48084-1744 Ph: (248) 740-0670 |
Dr. David J Kearney, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4600 Investment Dr, Ste 370, Troy, MI 48098 Phone: 248-267-5035 Fax: 248-267-5036 | |
Dr. Tarek Pacha, D.O Urology Medicare: Accepting Medicare Assignments Practice Location: 4137 Coolidge Hwy, Troy, MI 48098 Phone: 256-861-6480 | |
Henry M Rosevear, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 130 Town Center Dr Ste 101, Troy, MI 48084 Phone: 248-740-0670 Fax: 248-740-0668 | |
Dr. Evan J Kass, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2221 Livernois Rd, Ste 103, Troy, MI 48083 Phone: 248-519-0305 Fax: 248-519-0315 | |
Kenneth M Kernen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 130 Town Center Dr, Suite 101, Troy, MI 48084 Phone: 248-740-0670 Fax: 248-740-0668 |