| Dr Kathleen Michelle Fouche Brazzle, MD | |
|
461 W Huron St Ste 107, Pontiac, MI 48341-1601 | |
| (248) 724-7600 | |
| (248) 724-6800 |
| Full Name | Dr Kathleen Michelle Fouche Brazzle |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 39 Years |
| Location | 461 W Huron St Ste 107, Pontiac, 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 |
|---|---|---|---|
| 1629057906 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jewish Family Service | 8729071170 | 13 |
| Psygenics Inc | 9436465820 | 4 |
| Entity Name | Jewish Family Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699767533 PECOS PAC ID: 8729071170 Enrollment ID: O20040403000183 |
| Entity Name | Psygenics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669736104 PECOS PAC ID: 9436465820 Enrollment ID: O20150831002063 |
| Entity Name | Havenwyck Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053342220 PECOS PAC ID: 5799697603 Enrollment ID: O20170817000868 |
| Entity Name | Recovery Physicians Network Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689343683 PECOS PAC ID: 5597162552 Enrollment ID: O20210920000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kathleen Michelle Fouche Brazzle, MD Po Box 430150, Pontiac, MI 48343-0150 Ph: (248) 724-7600 | Dr Kathleen Michelle Fouche Brazzle, MD 461 W Huron St Ste 107, Pontiac, MI 48341-1601 Ph: (248) 724-7600 |
Dr. Cory Eric Manoogian, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-384-8130 Fax: 248-625-2622 | |
Dr. Shahid Jamil, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 44555 Woodward Ave, Ste 405, Pontiac, MI 48341 Phone: 248-333-7100 Fax: 248-858-7224 | |
Prasanth Talluri, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Pontiac, MI 48341 Phone: 248-857-6700 | |
Eric Collins, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1685 Baldwin Ave Ste 100, Pontiac, MI 48340 Phone: 248-706-3450 | |
Lalitha Vemuri, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 28 W Lawrence St, Pontiac, MI 48342 Phone: 248-858-5326 | |
Haiyan Liu, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Pontiac, MI 48341 Phone: 248-857-7200 | |
Maria Gisela Gallardo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Oakland Family Services, 114 Orchard Lake Road, Pontiac, MI 48341 Phone: 248-858-7766 |