| Ethan Abraham Sagher, MD | |
|
42452 Hayes Rd Ste 3, Clinton Township, MI 48038-6771 | |
| (862) 633-1305 | |
| (586) 263-5183 |
| Full Name | Ethan Abraham Sagher |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 9 Years |
| Location | 42452 Hayes Rd Ste 3, Clinton Township, 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 |
|---|---|---|---|
| 1912436106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 4301112247 (Michigan) | Secondary |
| 207N00000X | Dermatology | 4301503777 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Hospital | Ann arbor, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology Specialists Of Ann Arbor Pllc | 9830574672 | 7 |
| Entity Name | Dermatology Specialists Of Ann Arbor Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689306680 PECOS PAC ID: 9830574672 Enrollment ID: O20220915001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Abraham Sagher, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Ethan Abraham Sagher, MD 42452 Hayes Rd Ste 3, Clinton Township, MI 48038-6771 Ph: (862) 633-1305 |
Jennifer L Rivard, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 43151 Dalcoma Dr, Suite 3, Clinton Township, MI 48038 Phone: 586-286-8720 Fax: 866-790-6803 | |
Mary Georgia Veremis-ley, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 43900 Garfield Rd, Ste 100, Clinton Township, MI 48038 Phone: 586-286-2544 Fax: 586-286-0534 | |
Tiffany Cukrowski, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 43900 Garfield Rd, Ste 100, Clinton Township, MI 48038 Phone: 586-286-2544 Fax: 586-286-0534 | |
Dr. Cynthia Tseng Chow, MD Dermatology Medicare: Medicare Enrolled Practice Location: 43151 Dalcoma Dr Ste 1, Clinton Township, MI 48038 Phone: 586-286-8720 Fax: 586-286-8723 | |
Dr. Lenise Anne Banse, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 42452 Hayes Rd, Suite 3, Clinton Township, MI 48038 Phone: 586-263-3130 Fax: 586-263-5183 | |
Dr. Kent Jerome Krach, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 43900 Garfield Road, Suite 100, Clinton Township, MI 48038 Phone: 586-286-0112 Fax: 586-286-2702 | |
Dr. Fiorino M Digregorio, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 16510 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-7200 Fax: 586-286-8007 |