| Dr Michael Pauly Petrich, MD | |
|
18101 Oakwood Blvd, Dearborn, MI 48124-4089 | |
| (313) 436-2583 | |
| (313) 436-2809 |
| Full Name | Dr Michael Pauly Petrich |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 21 Years |
| Location | 18101 Oakwood Blvd, Dearborn, 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 |
|---|---|---|---|
| 1669664173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301084289 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Karmanos Cancer Center | Detroit, MI | Hospital |
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Mclaren Bay Region | Bay city, MI | Hospital |
| Mclaren Central Michigan | Mount pleasant, MI | Hospital |
| Harper University Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Barbara Ann Karmanos Cancer Institute | 3870407901 | 49 |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Entity Name | Barbara Ann Karmanos Cancer Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225022288 PECOS PAC ID: 3870407901 Enrollment ID: O20031113000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Pauly Petrich, MD 18060 Snow Road, Dearborn, MI 48124 Ph: (313) 436-2583 | Dr Michael Pauly Petrich, MD 18101 Oakwood Blvd, Dearborn, MI 48124-4089 Ph: (313) 436-2583 |
Frankju A Arevalo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Dr. Rohan Lalith Deraniyagala, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 248-551-5490 | |
Jerry W Drake, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Hassan Hamadi, DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Joon K Kim, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Sophia M Roumanis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Michael F Zydeck, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 |