| Dr Leonard Eugene Ellison Jr, MD | |
|
17330 Northland Park Ct, Southfield, MI 48075-4318 | |
| (248) 552-9500 | |
| (248) 552-8144 |
| Full Name | Dr Leonard Eugene Ellison Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 17330 Northland Park Ct, Southfield, 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 |
|---|---|---|---|
| 1679575328 | NPI | - | NPPES |
| 1679575328 | Medicaid | MI | |
| 1106353112 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301068024 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Renaissance Home Healthcare Services | Farmington hills, MI | Home health agency |
| John Paul Home Health Care | Bingham farms, MI | Home health agency |
| Detroit Receiving Hospital | Detroit, MI | Hospital |
| Harper University Hospital | Detroit, MI | Hospital |
| Riverview Health & Rehab Center | Detroit, MI | Nursing home |
| Mission Point Nsg & Physical Rehab Ctr Of Detroit | Detroit, MI | Nursing home |
| Hartford Nursing & Rehabilitation Center | Detroit, MI | Nursing home |
| St Joseph's, A Villa Center | Hamtramck, MI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Leonard Ellison Jr Md Pc | 2567412893 | 2 |
| Sciometrix Llc | 7618367087 | 52 |
| Entity Name | Leonard Ellison Jr Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609821537 PECOS PAC ID: 2567412893 Enrollment ID: O20050125000603 |
| Entity Name | Sciometrix Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619649894 PECOS PAC ID: 7618367087 Enrollment ID: O20211130000679 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leonard Eugene Ellison Jr, MD 17330 Northland Park Ct, Southfield, MI 48075-4318 Ph: (248) 552-9500 | Dr Leonard Eugene Ellison Jr, MD 17330 Northland Park Ct, Southfield, MI 48075-4318 Ph: (248) 552-9500 |
Surinder Mendiratta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20905 Greenfield Rd, Suite 502, Southfield, MI 48075 Phone: 248-395-2888 Fax: 248-395-2891 | |
Dr. Freddy R Sosa, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Suite 703, Southfield, MI 48075 Phone: 248-569-1770 Fax: 248-443-2439 | |
Thomas A Mladsi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29201 Telegraph Rd, Suite 460, Southfield, MI 48034 Phone: 248-206-7511 Fax: 248-206-7455 | |
Kun Kil Yu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19189 W 10 Mile Rd, Ste 200, Southfield, MI 48075 Phone: 248-948-7985 Fax: 248-948-9031 | |
Dr. Vilma Drelichman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075 Phone: 248-552-0620 Fax: 248-552-0286 | |
Dr. Sumner Camisa, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29829 Telegraph Road, #100, Southfield, MI 48034 Phone: 248-355-3033 Fax: 248-355-4936 | |
Talal Taher Khader, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 4th Fl Fisher Ctr, Southfield, MI 48075 Phone: 248-849-8483 |