| Dr Maureen Ziboh, MD | |
|
69045 M 62 Ste B, Edwardsburg, MI 49112-9168 | |
| (574) 968-4100 | |
| (574) 968-4125 |
| Full Name | Dr Maureen Ziboh |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 69045 M 62 Ste B, Edwardsburg, 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 |
|---|---|---|---|
| 1275560583 | NPI | - | NPPES |
| 200046830A | Medicaid | IN | |
| 000000532035 | Other | IN | ANTHEM |
| 200046830 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01045545A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southerncare Kalamazoo | Portage, MI | Hospice |
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Riveridge Rehabilitation & Healthcare Center | Niles, MI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avenue Hematology And Oncology Llc | 4082864921 | 2 |
| Avenue Hematology And Oncology Llc | 4082864921 | 2 |
| Theoria Medical | 5395098339 | 414 |
| Entity Name | Avenue Hematology And Oncology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942559380 PECOS PAC ID: 4082864921 Enrollment ID: O20121030000357 |
| Entity Name | Medexpress Urgent Care Pc Indiana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609114578 PECOS PAC ID: 8325286834 Enrollment ID: O20130522000565 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maureen Ziboh, MD 69045 M 62 Ste B, Edwardsburg, MI 49112-9168 Ph: (574) 968-4100 | Dr Maureen Ziboh, MD 69045 M 62 Ste B, Edwardsburg, MI 49112-9168 Ph: (574) 968-4100 |
Lindsey Danielle Lira, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 27082 W Main St, Edwardsburg, MI 49112 Phone: 269-246-1375 Fax: 269-246-1376 | |
Dr. George Erving Drake, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 68449 Scott St, Edwardsburg, MI 49112 Phone: 269-699-5776 |