| Dr Ronald A Nichols, MD | |
|
33155 Annapolis St, Wayne, MI 48184-2405 | |
| (734) 467-4000 | |
| Not Available |
| Full Name | Dr Ronald A Nichols |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 44 Years |
| Location | 33155 Annapolis St, Wayne, 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 |
|---|---|---|---|
| 1245532134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301053762 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grace Health, Inc. | 1052229226 | 22 |
| Entity Name | W.a. Foote Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831123728 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000875 |
| Entity Name | Grace Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518945278 PECOS PAC ID: 1052229226 Enrollment ID: O20040206000435 |
| Entity Name | Obhg Michigan, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790120863 PECOS PAC ID: 3971739244 Enrollment ID: O20131114000576 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ronald A Nichols, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1865 | Dr Ronald A Nichols, MD 33155 Annapolis St, Wayne, MI 48184-2405 Ph: (734) 467-4000 |
Dr. John W Armstead, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4020 Venoy Rd, Suite 400, Wayne, MI 48184 Phone: 734-326-5000 Fax: 734-326-0102 | |
Heba R Tajwar, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4000 Fax: 734-467-4017 | |
Adilakshmi Kaza, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4020 Venoy Rd, Suite 400, Wayne, MI 48184 Phone: 734-722-7440 | |
Franklin Castillo, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4000 | |
Leela Surulinarayanasami, MD PC Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4811 Venoy Rd, Wayne, MI 48184 Phone: 734-721-0707 |