Dr Mary E Petty-dudley, MD - Internal Medicine in Southgate, MI

Dr Mary E Petty-dudley, MD is a Internal Medicine physician based in Southgate, Michigan. Dr Mary E Petty-dudley is licensed to practice in Michigan (license number MP058113) and her current practice location is 3 Heritage Dr, Suite 1, Southgate, Michigan. She can be reached at her office (for appointments etc.) via phone at (734) 283-3222.

NPI number for Dr Mary E Petty-dudley is 1902853252 and her current mailing address is 30274 Young Dr, Gibraltar, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902853252.

Contact Information

Dr Mary E Petty-dudley, MD
3 Heritage Dr, Suite 1,
Southgate, MI 48195-3000
(734) 283-3222
(734) 283-4006

Map and Direction




Physician's Profile

Full NameDr Mary E Petty-dudley
GenderFemale
SpecialityInternal Medicine
Location3 Heritage Dr, Southgate, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902853252
  • Provider Enumeration Date: 05/30/2006
  • Last Update Date: 07/31/2019

Medical Identifiers

Medical identifiers for Dr Mary E Petty-dudley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902853252NPI-NPPES
110825451OtherMIBCBS
102435OtherMIGREAT LAKES
MP058113OtherMIBCBS
4503142 TYPE 10MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MP058113 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary E Petty-dudley is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mary E Petty-dudley, MD
30274 Young Dr,
Gibraltar, MI 48173-9457

Ph: (313) 831-8303
Dr Mary E Petty-dudley, MD
3 Heritage Dr, Suite 1,
Southgate, MI 48195-3000

Ph: (734) 283-3222

Reviews and Comments


Internal Medicine Doctors in Southgate, MI

Dr. Ramalingeswara R. Yalamanchi, M.D.
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Dr. Michael Neshewat, M.D.
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Phone: 734-283-3222    Fax: 734-283-4006
Dr. Qaiser Shafiq, M.D.
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Medicare: Accepting Medicare Assignments
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Phone: 734-282-4800    Fax: 734-282-9302
Dr. Jagdish Kumar Sachdeva, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 15105 Northline Rd, Southgate, MI 48195
Phone: 734-283-4122    Fax: 734-282-7577
Dr. Syed M Danish, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 13819 Trenton Rd, Southgate, MI 48195
Phone: 734-282-7911    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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