| Dr Mahdi Basha, DO | |
|
33080 Utica Rd, Fraser, MI 48026-2038 | |
| (586) 296-7250 | |
| (586) 296-7256 |
| Full Name | Dr Mahdi Basha |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 19 Years |
| Location | 33080 Utica Rd, Fraser, 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 |
|---|---|---|---|
| 1396900379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | D0.000211 (Louisiana) | Secondary |
| 207W00000X | Ophthalmology | OT012221 (Pennsylvania) | Secondary |
| 207W00000X | Ophthalmology | 5101016997 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Eye Care Provider Pllc | 1254611809 | 18 |
| Entity Name | Michigan Eye Care Provider Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598151318 PECOS PAC ID: 1254611809 Enrollment ID: O20161216002192 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mahdi Basha, DO 6601 Inkster Rd, Bloomfield Hills, MI 48301-2823 Ph: (586) 296-7250 | Dr Mahdi Basha, DO 33080 Utica Rd, Fraser, MI 48026-2038 Ph: (586) 296-7250 |
Dr. Rachel Anne Dandar, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 33080 Utica Rd Ste B, Fraser, MI 48026 Phone: 586-296-7250 Fax: 586-944-2315 | |
Dr. Joseph Tan, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 33080 Utica Rd Ste B, Fraser, MI 48026 Phone: 586-296-7256 Fax: 586-296-7256 | |
James R Valice, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 33080 Utica Rd, Fraser, MI 48026 Phone: 586-296-7250 Fax: 586-296-0276 | |
Lucas Bonafede, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 33080 Utica Rd Ste B, Fraser, MI 48026 Phone: 586-296-7250 Fax: 586-296-0276 |