| Dr Jeffrey Michael Gutman, DO | |
|
16407 Southfield Rd, Allen Park, MI 48101 | |
| (313) 271-3000 | |
| (313) 271-3003 |
| Full Name | Dr Jeffrey Michael Gutman |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 22 Years |
| Location | 16407 Southfield Rd, Allen Park, 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 |
|---|---|---|---|
| 1013077866 | NPI | - | NPPES |
| 450852 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 005280 (Arizona) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 5101016246 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Davita - Garden West | Westland, MI | Dialysis facility |
| Beaumont Hospital - Trenton | Trenton, MI | Hospital |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | Hospital |
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Henry Ford Hospital | Detroit, MI | Hospital |
| Beaumont Hospital - Taylor | Taylor, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nephrology Hypertension Clinic Pc | 5193719375 | 6 |
| Entity Name | Nephrology Hypertension Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053466094 PECOS PAC ID: 5193719375 Enrollment ID: O20040412000529 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Michael Gutman, DO Po Box 77000 Dept 771255, Detroit, MI 48277-2000 Ph: (313) 271-3000 | Dr Jeffrey Michael Gutman, DO 16407 Southfield Rd, Allen Park, MI 48101 Ph: (313) 271-3000 |
Cheng Chong Lee, MD Nephrology Medicare: Medicare Enrolled Practice Location: 6742 Park Ave, Allen Park, MI 48101 Phone: 313-928-2333 | |
Vinod Bihari Sanghi, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 6540 Park Ave, Allen Park, MI 48101 Phone: 313-381-2528 Fax: 313-381-3002 | |
Subrahmanya Sarma Yellayi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6742 Park Ave, Allen Park, MI 48101 Phone: 313-928-2333 | |
Dr. Tareq Baghal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6742 Park Ave, Allen Park, MI 48101 Phone: 313-928-2333 | |
Muhammad Wasiullah, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 14551 Southfield Rd Ste 1, Allen Park, MI 48101 Phone: 313-299-3420 Fax: 313-299-3430 | |
Anand N Hiremath, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 16407 Southfield Rd Ste 207, Allen Park, MI 48101 Phone: 313-271-3000 Fax: 313-271-3003 |