| Dr Michael J Kenneson, DO | |
|
42645 Garfield Rd, Suite 103, Clinton Twp, MI 48038-5022 | |
| (586) 286-0050 | |
| (586) 286-0880 |
| Full Name | Dr Michael J Kenneson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 42645 Garfield Rd, Clinton Twp, 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 |
|---|---|---|---|
| 1154391969 | NPI | - | NPPES |
| 4381308 | Medicaid | MI | |
| 4991989 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101010986 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Hospital | Detroit, MI | Hospital |
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group Michigan | 0648180406 | 186 |
| Ascension Michigan-cmg | 7517162761 | 63 |
| Entity Name | Ascension Michigan-cmg |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851765374 PECOS PAC ID: 7517162761 Enrollment ID: O20160127001523 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael J Kenneson, DO 43900 Garfield Rd, Ste 222, Clinton Township, MI 48038-1137 Ph: (586) 286-0050 | Dr Michael J Kenneson, DO 42645 Garfield Rd, Suite 103, Clinton Twp, MI 48038-5022 Ph: (586) 286-0050 |
Dr. Albert Anthony Przybylski, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 36549 Harper Ave, Suite B, Clinton Twp, MI 48035 Phone: 586-791-3150 Fax: 586-791-0409 | |
Dr. Mercedes Webster, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15717 15 Mile Rd, Clinton Twp, MI 48035 Phone: 586-285-3800 Fax: 586-285-3818 | |
Dr. Pamela Rae Valka, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 37399 Garfield, Suite 203, Clinton Twp, MI 48036 Phone: 586-228-3991 Fax: 586-228-2901 | |
Mr. Donald Brian Muir, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 43421 Garfield Rd, Ste 1, Clinton Twp, MI 48038 Phone: 586-286-5500 Fax: 586-286-0900 | |
Hira Fatima Naqvi, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 15717 15 Mile Rd, Clinton Twp, MI 48035 Phone: 586-285-3800 | |
Dr. Lisa Langenburg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 37399 Garfield Rd, Suite 203, Clinton Twp, MI 48036 Phone: 586-228-3991 Fax: 586-228-2901 |