| Dr Joram O Mogaka, MD | |
|
22631 Greater Mack Ave, Saint Clair Shores, MI 48080-2055 | |
| (586) 771-0100 | |
| Not Available |
| Full Name | Dr Joram O Mogaka |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 22631 Greater Mack Ave, Saint Clair Shores, 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 |
|---|---|---|---|
| 1255407631 | NPI | - | NPPES |
| 810666394 | Other | MI | TAX ID |
| 1108235572 | Other | MI | BLUE CROSS BLUE SHIELD |
| 472234510 | Medicaid | MI | |
| 1106314802 | Other | MI | BLUE CARE NETWORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 076566 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Universal Hospice Care | Southfield, MI | Hospice |
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Ascension St John Hospital | Detroit, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Ambassador, A Villa Center | Detroit, MI | Nursing home |
| Father Murray, A Villa Center | Center line, MI | Nursing home |
| Entity Name | Joram O Mogaka Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861434136 PECOS PAC ID: 7416997606 Enrollment ID: O20050506000412 |
| Entity Name | Century Living Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659753085 PECOS PAC ID: 7113236472 Enrollment ID: O20151027003045 |
| Entity Name | House Mds Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790411221 PECOS PAC ID: 9830572312 Enrollment ID: O20220816001849 |
| Entity Name | K & M Medical & Catastrophic Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427669969 PECOS PAC ID: 9335516376 Enrollment ID: O20221104001016 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joram O Mogaka, MD 4967 Crooks Rd, Ste 130, Troy, MI 48098-5801 Ph: (248) 952-1601 | Dr Joram O Mogaka, MD 22631 Greater Mack Ave, Saint Clair Shores, MI 48080-2055 Ph: (586) 771-0100 |
Jahnavi Chakrala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20229 E 9 Mile Rd Ste 200, Saint Clair Shores, MI 48080 Phone: 586-267-0200 Fax: 313-343-4412 | |
Kimberley Demerle, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 112, Saint Clair Shores, MI 48081 Phone: 586-772-5550 Fax: 877-673-3562 | |
Maridel Aileen Hernandez, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19603 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-445-7900 Fax: 586-445-7940 | |
Daniel Shelden, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-447-8021 Fax: 586-447-8022 | |
Dr. Demetrios Mermiges, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19611 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-772-6850 Fax: 586-772-3810 | |
Zaid Kasmikha, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24211 Little Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-498-0440 Fax: 586-498-0429 | |
Dr. Marybeth Hardwicke, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 23411 Jefferson Ave, Suite 100, Saint Clair Shores, MI 48080 Phone: 586-778-4080 Fax: 586-778-6055 |