| Dr Tejal Shah Joseph, MD | |
|
102 N. Adelaide Street, Fenton, MI 48430-2670 | |
| (810) 629-2245 | |
| (810) 629-6535 |
| Full Name | Dr Tejal Shah Joseph |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 102 N. Adelaide Street, Fenton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013995125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301070964 (Michigan) | Primary |
| Entity Name | Covenant Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972590412 PECOS PAC ID: 2769387778 Enrollment ID: O20031209000107 |
| 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 |
| Entity Name | Iha Olma Primary Non Risk Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073112819 PECOS PAC ID: 1759792799 Enrollment ID: O20201124001881 |
| Entity Name | Iha Olma Primary Care Risk Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578162319 PECOS PAC ID: 1153733324 Enrollment ID: O20201211000387 |
| Entity Name | Iha Ooma Primary Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245815984 PECOS PAC ID: 7012316664 Enrollment ID: O20210601002563 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tejal Shah Joseph, MD 24 Frank Lloyd Wright Dr Ste J2000, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766 | Dr Tejal Shah Joseph, MD 102 N. Adelaide Street, Fenton, MI 48430-2670 Ph: (810) 629-2245 |
Christopher N Harrison, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17200 Silver Pkwy, Fenton, MI 48430 Phone: 810-714-9660 Fax: 810-714-9661 | |
Dr. Donna Benford, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Torrey Rd Ste 400, Fenton, MI 48430 Phone: 810-714-7369 Fax: 810-714-9258 | |
Dr. Christopher Weston Cenzer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 445 N Fenway Dr, Fenton, MI 48430 Phone: 810-750-6060 | |
Dr. Amy Ruth Shepard, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 N Adelaide St, Fenton, MI 48430 Phone: 810-629-2245 Fax: 810-629-6535 | |
Dr. Kenneth R Steibel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 445 N Fenway Dr, Fenton, MI 48430 Phone: 810-750-6060 Fax: 810-750-6081 | |
Susan H Longe, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 435 N Leroy St, Fenton, MI 48430 Phone: 810-629-3552 Fax: 810-629-3571 |