| Dr Mark Korea Banno, MD | |
|
27970 Orchard Lake Rd Ste 1, Farmington Hills Medical Group, Farmington Hills, MI 48334-3767 | |
| (248) 626-1999 | |
| (248) 626-7555 |
| Full Name | Dr Mark Korea Banno |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 47 Years |
| Location | 27970 Orchard Lake Rd Ste 1, Farmington Hills, 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 |
|---|---|---|---|
| 1669600219 | NPI | - | NPPES |
| 0P33970011 | Other | MI | MEDICARE P-TAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301094195 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Guardian Angel Home Care | Rochester hills, MI | Home health agency |
| John Paul Home Health Care | Bingham farms, MI | Home health agency |
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group Michigan | 0648180406 | 186 |
| Entity Name | Ascension Medical Group Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730117805 PECOS PAC ID: 0648180406 Enrollment ID: O20060803000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Korea Banno, MD 27970 Orchard Lake Rd Ste 1, Farmington Hills Medical Group, Farmington Hills, MI 48334-3767 Ph: (248) 626-1999 | Dr Mark Korea Banno, MD 27970 Orchard Lake Rd Ste 1, Farmington Hills Medical Group, Farmington Hills, MI 48334-3767 Ph: (248) 626-1999 |
Dr. Randall T Wurtz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 23800 Orchard Lake Rd, Ste 100, Farmington Hills, MI 48336 Phone: 248-476-2420 Fax: 248-476-9709 | |
Dr. Wafa S Barkho, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30055 Northwestern Hwy Ste 170, Farmington Hills, MI 48334 Phone: 248-539-0729 Fax: 248-539-0729 | |
Lauren Noel Cole, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 28100 Grand River Ave Ste 313, Farmington Hills, MI 48336 Phone: 947-521-7150 | |
Dr. Lauren Brown Faraj, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 28100 Grand River Ave Ste 313, Farmington Hills, MI 48336 Phone: 947-521-7150 | |
Dr. Hassan Kassem, MD, MBA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28545 Orchard Lake Rd Unit 1, Farmington Hills, MI 48334 Phone: 248-365-6064 Fax: 248-516-3145 | |
Dr. Joanne Louise Mckune, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36253 Old Homestead Dr, Farmington Hills, MI 48335 Phone: 248-477-1433 | |
Dr. Ashley Fulton, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 28100 Grand River Ave Ste 313, Farmington Hills, MI 48336 Phone: 947-521-7150 |