| Dr Laurie Jean Rudnick, MD | |
|
19901 E 10 Mile Rd, Saint Clair Shores, MI 48080-1069 | |
| (586) 777-1277 | |
| (586) 777-0106 |
| Full Name | Dr Laurie Jean Rudnick |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 19901 E 10 Mile Rd, Saint Clair Shores, 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 |
|---|---|---|---|
| 1407822612 | NPI | - | NPPES |
| 0P27380 | Other | MI | MEDICARE GROUP LEGACY # |
| 700E031610 | Other | MI | BCBS GROUP NUMBER |
| 4828442 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301066008 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Hospital | Detroit, MI | Hospital |
| Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group Michigan | 0648180406 | 186 |
| Ascension St John Hospital | 3173424082 | 305 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laurie Jean Rudnick, MD 19901 E 10 Mile Rd, Saint Clair Shores, MI 48080-1069 Ph: (586) 777-1277 | Dr Laurie Jean Rudnick, MD 19901 E 10 Mile Rd, Saint Clair Shores, MI 48080-1069 Ph: (586) 777-1277 |
Dr. Nikola Cengelova Conrad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081 Phone: 586-498-4400 Fax: 586-498-4440 | |
Dr. Mark Edward Holowinski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24100 Little Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-443-4063 Fax: 586-443-4064 | |
Dr. Emianka Sotiri, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080 Phone: 586-777-2050 Fax: 586-777-2189 | |
Tazkia Sadia Al-bari, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080 Phone: 586-777-2050 Fax: 586-777-2189 | |
Christopher Bracken, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 24725 Jefferson Ave, Saint Clair Shores, MI 48080 Phone: 586-774-7800 | |
Shoshan P Zolo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25631 Little Mack Ave Ste 103, Saint Clair Shores, MI 48081 Phone: 586-443-2333 Fax: 586-443-2332 | |
Mark B Alrais, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21600 Harper Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-800-1001 Fax: 586-800-1002 |