| Edgard Pedraza, MD | |
|
1547 S Wayne Rd, Westland, MI 48186-5436 | |
| (734) 405-0176 | |
| (586) 795-5540 |
| Full Name | Edgard Pedraza |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 56 Years |
| Location | 1547 S Wayne Rd, Westland, 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 |
|---|---|---|---|
| 1881881324 | NPI | - | NPPES |
| 0N15280004 | Other | MI | MEDICARE PIN LINKED TO APEX BEHAVIORAL HEALTH |
| 4767490 | Medicaid | MI | |
| 0N15280 | Other | MI | MEDICARE GROUP ID FOR APEX BEHAVIORAL HEALTH |
| 4308952 10 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301034895 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Of Macomb | 4880581404 | 74 |
| Apex Behavioral Health Dearborn Pllc | 7911165949 | 10 |
| Entity Name | County Of Macomb |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942532197 PECOS PAC ID: 4880581404 Enrollment ID: O20040301000018 |
| Entity Name | Southwest Counseling Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386756153 PECOS PAC ID: 4082648365 Enrollment ID: O20050926000891 |
| Entity Name | Apex Behavioral Health Dearborn Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467732644 PECOS PAC ID: 7911165949 Enrollment ID: O20120222000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Edgard Pedraza, MD 5528 Metro Pkwy, Sterling Heights, MI 48310-4105 Ph: (586) 795-3232 | Edgard Pedraza, MD 1547 S Wayne Rd, Westland, MI 48186-5436 Ph: (734) 405-0176 |
Dr. Tabassum Kahkashan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8623 N Wayne Rd Ste 200, Westland, MI 48185 Phone: 734-458-4601 | |
Dr. Drew Alan Trentacosta, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 30901 Palmer Rd, Westland, MI 48186 Phone: 734-367-8400 Fax: 734-722-5562 | |
Dr. Aruna Bavineni, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 30901 Palmer Rd, Westland, MI 48186 Phone: 734-367-8520 | |
Himaja Gummadi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 30901 Palmer Rd, Westland, MI 48186 Phone: 734-367-8403 Fax: 734-722-9524 | |
Dr. Pawel Andrzej Galecki, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 30901 Palmer Rd, Westland, MI 48186 Phone: 734-999-0269 Fax: 734-212-6953 | |
Robert Grenn, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 30901 Palmer Rd, Westland, MI 48186 Phone: 734-367-8400 | |
Dr. Katherine Welk Litow, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2001 S Merriman Rd, Westland, MI 48186 Phone: 734-727-1000 |