| Dr Patrick R Brennan, DO | |
|
22024 Pontiac Trl, South Lyon, MI 48178-9410 | |
| (248) 437-2525 | |
| (248) 437-2526 |
| Full Name | Dr Patrick R Brennan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 22024 Pontiac Trl, South Lyon, 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 |
|---|---|---|---|
| 1770582793 | NPI | - | NPPES |
| 7323572 | Other | MI | AETNA |
| 5631170 | Other | MI | BLUE CROSS PROVIDER I.D. |
| 139314 | Other | MI | PREFERRED CHOICE |
| 139314 | Other | MI | CARE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | PB5101014989 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Mercy Livingston Hospital | Howell, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dora Roberts Rehabilitation Center | 0941285498 | 68 |
| Vmd Primary Providers Eastern Michigan Pc | 9234480575 | 60 |
| Entity Name | Envision Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578891750 PECOS PAC ID: 0840315867 Enrollment ID: O20101006000393 |
| Entity Name | Vmd Primary Providers Eastern Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336625540 PECOS PAC ID: 9234480575 Enrollment ID: O20180925002900 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick R Brennan, DO 22024 Pontiac Trl, South Lyon, MI 48178-9410 Ph: (248) 437-2525 | Dr Patrick R Brennan, DO 22024 Pontiac Trl, South Lyon, MI 48178-9410 Ph: (248) 437-2525 |
Dr. Steve Sungmin Kim, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 210 N Lafayette St, South Lyon, MI 48178 Phone: 248-437-1744 | |
Promita Roychoudhury, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 210 N Lafayette, South Lyon, MI 48178 Phone: 248-437-1744 Fax: 248-446-2420 | |
Dr. Michael Samir Matar, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 N Lafayette Street, South Lyon, MI 48178 Phone: 248-437-1744 | |
Dr. Shylaja Gontina-khatiwala, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9600 N Rushton Rd, South Lyon, MI 48178 Phone: 248-721-1510 | |
Lauren H. Groskaufmanis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 N Lafayette St, South Lyon, MI 48178 Phone: 248-437-1744 Fax: 248-437-3245 | |
Cherolee Rickey Trembath, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 N Lafayette St, South Lyon, MI 48178 Phone: 248-437-1744 Fax: 248-437-3245 | |
Samar Dawood, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 N Lafayette St, South Lyon, MI 48178 Phone: 248-437-1744 |