Dr Olin Keith Lepard, MD | |
35216 E Michigan Ave, Wayne, MI 48184-3698 | |
(734) 728-3446 | |
(734) 728-4893 |
Full Name | Dr Olin Keith Lepard |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 35216 E Michigan Ave, Wayne, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144340951 | NPI | - | NPPES |
101967219 | Medicaid | MI | |
1144340951 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 430127678 (Maine) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | KL 027678 (Michigan) | Secondary |
Entity Name | Professional Outreach Counseling Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295898385 PECOS PAC ID: 9234235771 Enrollment ID: O20070430000662 |
Entity Name | Pocs Mental Health Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689901993 PECOS PAC ID: 8729115779 Enrollment ID: O20100422000461 |
Mailing Address | Practice Location Address |
---|---|
Dr Olin Keith Lepard, MD 35216 E Michigan Ave, Wayne, MI 48184-3698 Ph: (734) 728-3446 | Dr Olin Keith Lepard, MD 35216 E Michigan Ave, Wayne, MI 48184-3698 Ph: (734) 728-3446 |
Surindar K Jolly, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4020 Venoy Rd, Ste#800, Wayne, MI 48184 Phone: 734-721-6001 Fax: 734-721-6003 | |
Dr. Padma Surapaneni, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 33101 Annapolis St, Wayne, MI 48184 Phone: 734-721-0200 Fax: 734-721-2008 | |
Matthew C. Holtzman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 34815 W Michigan Ave, C, Wayne, MI 48184 Phone: 734-721-4739 Fax: 734-725-3184 | |
Puthenparampil G Vijayakumaran, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 33101 Annapolis, Suite B, Wayne, MI 48184 Phone: 734-721-0200 Fax: 734-721-2008 | |
Nazia Sadaf Adil, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4000 | |
Dr. Ranajit Sil, MD, PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 34815 W Michigan Ave, Ste C, Wayne, MI 48184 Phone: 734-721-4739 Fax: 734-725-3194 |