| Elena Cherniavski, MD | |
| 
					21415 Civic Center Dr, Southfield, MI 48076-3909  | |
| (248) 357-1426 | |
| (248) 499-1350 | 
| Full Name | Elena Cherniavski | 
|---|---|
| Gender | Female | 
| Speciality | Anesthesiology | 
| Location | 21415 Civic Center Dr, Southfield, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215978085 | NPI | - | NPPES | 
| 477596610 | Medicaid | MI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 4301072044 (Michigan) | Primary | 
| Entity Name | Signify Health Medical Associates Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Elena Cherniavski, MD 21415 Civic Center Dr, Southfield, MI 48076-3909 Ph: (248) 357-1426  | Elena Cherniavski, MD 21415 Civic Center Dr, Southfield, MI 48076-3909 Ph: (248) 357-1426  | 
Jonathan Arie Kroll, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000  | |
Dominick Lago Jr., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000  | |
Jeffrey Joseph Kirouac, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000  | |
Leslie A Mumaw, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 26051 Lahser Rd, Southfield, MI 48034 Phone: 248-223-9945  | |
Mark Mounayer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 26025 Lahser Rd Fl 3, Southfield, MI 48033 Phone: 248-663-1900 Fax: 248-663-1901  | |
Dr. Alexander Grossi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 16000 W 9 Mile Rd, Suite 601, Southfield, MI 48075 Phone: 734-233-8481  | |
Shad Siddiqi, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr Ste 401, Southfield, MI 48075 Phone: 866-974-2673 Fax: 866-939-2673  |