| Dr Jillian Diane Davis-baumann, DO | |
|
15855 Ninteen Miled Road, Emergency Dept, Clinton Township, MI 48038-3504 | |
| (586) 263-2601 | |
| (586) 263-2589 |
| Full Name | Dr Jillian Diane Davis-baumann |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 17 Years |
| Location | 15855 Ninteen Miled Road, Clinton Township, 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 |
|---|---|---|---|
| 1720315807 | NPI | - | NPPES |
| 12551412 | Other | MI | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 5101018413 (Michigan) | Primary |
| 207P00000X | Emergency Medicine | 5101018413 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Emergency Care Pc | 3870493588 | 22 |
| Entity Name | Professional Emergency Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578568036 PECOS PAC ID: 3870493588 Enrollment ID: O20040119000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jillian Diane Davis-baumann, DO 38935 Ann Arbor Rd, Credentialing Dept, Livonia, MI 48150-3397 Ph: (734) 805-0488 | Dr Jillian Diane Davis-baumann, DO 15855 Ninteen Miled Road, Emergency Dept, Clinton Township, MI 48038-3504 Ph: (586) 263-2601 |
Robert Douglas Kenewell, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 17610 Kingsbrooke Cir Apt 101, Clinton Township, MI 48038 Phone: 586-412-6906 | |
Shishir Senapati, MD PC General Practice Medicare: Medicare Enrolled Practice Location: 43211 Dalcoma Dr, #3, Clinton Township, MI 48038 Phone: 586-263-9355 Fax: 586-263-6835 | |
Martin Bloda, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 34336 Harper Ave, Clinton Township, MI 48035 Phone: 586-791-9173 Fax: 586-791-9393 |