| Dr Lascelles Pinnock, MD | |
|
14575 Southfield Rd, Allen Park, MI 48101 | |
| (313) 381-5170 | |
| (313) 381-8790 |
| Full Name | Dr Lascelles Pinnock |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 50 Years |
| Location | 14575 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 |
|---|---|---|---|
| 1295766137 | NPI | - | NPPES |
| 0255787002 | Other | MI | CIGNA |
| 4033934 | Other | MI | AETNA |
| 13242 | Other | MI | WELLNESS -CHSD |
| 21165 | Other | MI | OMNI HMO |
| 046 | Other | MI | HEALTH PLUS |
| 2110638-10 | Medicaid | MI | |
| 125274 | Other | MI | CARE CHOICES |
| 4440296 | Other | MI | TEAMSTERS |
| 48254 | Other | MI | OMNI CARE CONVENTRY |
| OH23634 | Other | MI | BLUE CROSS BLUE SHIELD |
| 81165 | Other | MI | OMNI POS |
| 000000004774 | Other | MI | CAPE HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | LP042960 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Dearborn Hospital | Dearborn, MI | Hospital |
| Corewell Health Taylor Hospital | Taylor, MI | Hospital |
| Corewell Health Farmington Hills Hospital | Farmington hills, MI | Hospital |
| Corewell Health Trenton Hospital | Trenton, MI | Hospital |
| Corewell Health William Beaumont University Hospit | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Downriver Ent Pc | 6305933326 | 2 |
| Entity Name | Downriver Ent PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134304595 PECOS PAC ID: 6305933326 Enrollment ID: O20080104000527 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lascelles Pinnock, MD 14575 Southfield Rd, Allen Park, MI 48101 Ph: (313) 381-5170 | Dr Lascelles Pinnock, MD 14575 Southfield Rd, Allen Park, MI 48101 Ph: (313) 381-5170 |