| Dr Meghna S Pathak, MD | |
|
210 N Lafayette St, South Lyon, MI 48178-2048 | |
| (248) 437-1744 | |
| Not Available |
| Full Name | Dr Meghna S Pathak |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 210 N Lafayette St, South Lyon, 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 |
|---|---|---|---|
| 1609004662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301094155 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group Michigan | 0648180406 | 186 |
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| 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 Meghna S Pathak, MD 6834 Ardsley Dr, Canton, MI 48187-3028 Ph: (734) 664-1046 | Dr Meghna S Pathak, MD 210 N Lafayette St, South Lyon, MI 48178-2048 Ph: (248) 437-1744 |
Dr. Steve Sungmin Kim, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 210 N Lafayette St, South Lyon, MI 48178 Phone: 248-437-1744 | |
Promita Roychoudhury, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 210 N Lafayette, South Lyon, MI 48178 Phone: 248-437-1744 Fax: 248-446-2420 | |
Dr. Michael Samir Matar, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 N Lafayette Street, South Lyon, MI 48178 Phone: 248-437-1744 | |
Dr. Shylaja Gontina-khatiwala, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9600 N Rushton Rd, South Lyon, MI 48178 Phone: 248-721-1510 | |
Lauren H. Groskaufmanis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 N Lafayette St, South Lyon, MI 48178 Phone: 248-437-1744 Fax: 248-437-3245 | |
Cherolee Rickey Trembath, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 N Lafayette St, South Lyon, MI 48178 Phone: 248-437-1744 Fax: 248-437-3245 | |
Samar Dawood, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 N Lafayette St, South Lyon, MI 48178 Phone: 248-437-1744 |