| Dr Paolo Marciano Agostinelli, MD PHD | |
|
Interventional Radiology, 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | |
| (248) 898-7456 | |
| (248) 898-4316 |
| Full Name | Dr Paolo Marciano Agostinelli |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 22 Years |
| Location | Interventional Radiology, Royal Oak, 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 |
|---|---|---|---|
| 1083746671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2004012738 (Missouri) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 4301094023 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Huron Medical Center | Port huron, MI | Hospital |
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Beaumont Hospital - Trenton | Trenton, MI | Hospital |
| Garden City Hospital | Garden city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaumont Medical Group Hospital Based Services | 3072875889 | 506 |
| Drs Harris Birkhill Wang Songe And Assoc Pc | 3779495338 | 52 |
| Mclaren Medical Group | 3971416082 | 314 |
| Great Lakes Radiology Services | 7113456831 | 17 |
| Entity Name | Drs. Harris, Birkhill, Wang, Songe And Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679529978 PECOS PAC ID: 3779495338 Enrollment ID: O20031103000248 |
| Entity Name | Won Chae Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700828969 PECOS PAC ID: 0345221883 Enrollment ID: O20040528001013 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Entity Name | Great Lakes Radiology Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891529111 PECOS PAC ID: 7113456831 Enrollment ID: O20250124003035 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paolo Marciano Agostinelli, MD PHD Interventional Radiology, 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 898-7456 | Dr Paolo Marciano Agostinelli, MD PHD Interventional Radiology, 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 898-7456 |
Terrence Metz, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Christopher W Keyes, MD Radiology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7266 | |
Stephen Hudak, Radiology Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-6262 | |
Kent Donovan, Radiology Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6509 | |
Dr. John Douglas Ebersole, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6064 | |
Ajwad Bajwa, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-0424 | |
Ebin Sebastian, MBBS Radiology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd # Gme, Royal Oak, MI 48073 Phone: 248-551-3000 |