| Dr Mira Grace, MD | |
|
44428 Woodward Avenue Suite 102, Pontiac, MI 48341-5009 | |
| (734) 712-8700 | |
| (734) 622-5017 |
| Full Name | Dr Mira Grace |
|---|---|
| Gender | Female |
| Speciality | Addiction Medicine |
| Experience | 15 Years |
| Location | 44428 Woodward Avenue Suite 102, Pontiac, 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 |
|---|---|---|---|
| 1659667293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083A0300X | Preventive Medicine - Addiction Medicine | 4301507706 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Oakland | Pontiac, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iha Health Services Corporation | 2466351440 | 1142 |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mira Grace, MD 44428 Woodward Ave Ste 102, Pontiac, MI 48341-5009 Ph: (562) 896-8786 | Dr Mira Grace, MD 44428 Woodward Avenue Suite 102, Pontiac, MI 48341-5009 Ph: (734) 712-8700 |
Carolyn Wilson Bird, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 N Telegraph Rd, Pontiac, MI 48341 Phone: 248-858-1276 Fax: 248-858-5639 | |
Barbara Lee Yakes, D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1251 Joslyn Ave, Pontiac, MI 48340 Phone: 586-924-0106 Fax: 248-857-3623 | |
Dr. Michael Jay Goldstein, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1251 Joslyn Ave, 483-109-750, Pontiac, MI 48340 Phone: 248-857-3524 | |
Dr. Anupam Sule, M.D., PH.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6281 Fax: 888-993-4445 | |
Dr. Mark Gary Singer, M. D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 777 Joslyn Ave, Mc 483-720-420, Pontiac, MI 48340 Phone: 248-857-0599 Fax: 248-857-8946 |