| Edward J Jelonek Jr, DO | |
|
159 Kercheval Ave., Grosse Pointe, MI 48236 | |
| (313) 640-2300 | |
| Not Available |
| Full Name | Edward J Jelonek Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 159 Kercheval Ave., Grosse Pointe, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073583001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 5101009074 (Michigan) | Primary |
| Entity Name | Emergency Professionals Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952740656 PECOS PAC ID: 3274767371 Enrollment ID: O20131003000093 |
| 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 |
|---|---|
| Edward J Jelonek Jr, DO Po Box 670660, Detroit, MI 48267-0660 Ph: (866) 321-8433 | Edward J Jelonek Jr, DO 159 Kercheval Ave., Grosse Pointe, MI 48236 Ph: (313) 640-2300 |
Dr. Brian Matthew Dimmer, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1605 | |
David R Schleif, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1605 Fax: 313-473-1934 | |
Dr. Liza Kamal Khalil, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1605 Fax: 313-473-1934 | |
Dr. Jon Spyridakis I, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1605 | |
Dr. Maisa Teff, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1605 | |
Steven D Sandubrae, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 159 Kercheval Ave., Grosse Pointe, MI 48236 Phone: 313-640-2300 |