| Dr Michelle Sue Legacy, DO | |
|
1900 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302 | |
| (248) 338-6400 | |
| (248) 338-2920 |
| Full Name | Dr Michelle Sue Legacy |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 16 Years |
| Location | 1900 S Telegraph Rd, Bloomfield Hills, 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 |
|---|---|---|---|
| 1982855110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 5101017676 (Michigan) | Secondary |
| 207N00000X | Dermatology | MI5101017676 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Dermatology Group Pc | 8325338148 | 3 |
| Entity Name | Legacy Dermatology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588019053 PECOS PAC ID: 8325338148 Enrollment ID: O20160608000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michelle Sue Legacy, DO 1900 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302 Ph: (248) 338-6400 | Dr Michelle Sue Legacy, DO 1900 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302 Ph: (248) 338-6400 |
Dr. Mark L Nelson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 60 W Big Beaver Rd, Ste 120, Bloomfield Hills, MI 48304 Phone: 248-540-9100 Fax: 248-540-1223 | |
Fred Mark Novice, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4120 West Maple Road, Suite 206, Bloomfield Hills, MI 48301 Phone: 248-932-3376 Fax: 248-932-1046 | |
Darius James Karimipour, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 43700 Woodward Ave, Suite 110, Bloomfield Hills, MI 48302 Phone: 248-332-0103 Fax: 248-332-1070 | |
Dr. Linda Chung Honet, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 36800 Woodward Avenue, Suite 110, Bloomfield Hills, MI 48304 Phone: 248-792-7600 Fax: 248-792-7889 | |
Dr. Lynn Marie Sikorski, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1900 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302 Phone: 248-338-6400 Fax: 248-338-2920 | |
Neldagae S Chisa, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 36700 Woodward Ave, Ste 203, Bloomfield Hills, MI 48304 Phone: 248-647-5750 Fax: 248-647-6008 | |
Richard Elton, Dermatology Medicare: Medicare Enrolled Practice Location: 29 Kingsley Manor Ct, Bloomfield Hills, MI 48304 Phone: 248-649-6769 |