| Dr Michael R Petersen, MD | |
|
2000 N Huron River Dr Ste 100, Ypsilanti, MI 48197 | |
| (734) 572-1200 | |
| (734) 572-9760 |
| Full Name | Dr Michael R Petersen |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology - Retina Specialist |
| Location | 2000 N Huron River Dr Ste 100, Ypsilanti, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629005160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 35-06-3107 (Ohio) | Secondary |
| 207WX0107X | Ophthalmology - Retina Specialist | 4301406847 (Michigan) | Primary |
| Entity Name | Cei Physicians PSC, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942296298 PECOS PAC ID: 0749186427 Enrollment ID: O20031211001059 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael R Petersen, MD 39650 Orchard Hill Pl Ste 200, Novi, MI 48375-5391 Ph: (248) 319-0161 | Dr Michael R Petersen, MD 2000 N Huron River Dr Ste 100, Ypsilanti, MI 48197 Ph: (734) 572-1200 |
Dr. Maxwell William Dixon, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5477 W Clark Rd, Ypsilanti, MI 48197 Phone: 734-434-6000 Fax: 734-434-7005 |
Dr. Barry R Fuller, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5477 W Clark Rd, Ypsilanti, MI 48197 Phone: 734-434-6000 Fax: 734-434-7005 |
Dr. Donna Judith Tal, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr Rm 4011, Ypsilanti, MI 48197 Phone: 734-434-7400 Fax: 734-434-7323 |
Dr. Sunita Yedavally, DO Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2000 N Huron River Dr, 100, Ypsilanti, MI 48197 Phone: 734-572-1200 Fax: 734-572-9760 |
Thomas E Kehn, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5477 W Clark Rd, Ypsilanti, MI 48197 Phone: 734-434-6000 Fax: 734-434-7005 |
Jason Zhang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1974 North Huron River Dr, Ypsilanti, MI 48197 Phone: 734-615-0788 |
Dr. Jane C Werner, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5333 Mcauley Dr, Suite 4011, Ypsilanti, MI 48197 Phone: 734-712-7550 Fax: 734-712-7576 |