| Heather Koza, MD | |
|
23800 Orchard Lake Rd Ste 202, Farmington Hills, MI 48336-2562 | |
| (248) 997-5964 | |
| (833) 428-8854 |
| Full Name | Heather Koza |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 23800 Orchard Lake Rd Ste 202, Farmington Hills, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194045526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 4301104250 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 4301104250 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| S Park-davis Healthcare | 6204126857 | 2 |
| Legacy Family Care Pllc | 9234659830 | 2 |
| Entity Name | S Park-davis Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649631813 PECOS PAC ID: 6204126857 Enrollment ID: O20160609001705 |
| Entity Name | Legacy Family Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841000361 PECOS PAC ID: 9234659830 Enrollment ID: O20250226002319 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Koza, MD 23800 Orchard Lake Rd Ste 202, Farmington Hills, MI 48336-2562 Ph: (248) 997-5964 | Heather Koza, MD 23800 Orchard Lake Rd Ste 202, Farmington Hills, MI 48336-2562 Ph: (248) 997-5964 |
Dr. Randall T Wurtz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 23800 Orchard Lake Rd, Ste 100, Farmington Hills, MI 48336 Phone: 248-476-2420 Fax: 248-476-9709 | |
Dr. Wafa S Barkho, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30055 Northwestern Hwy Ste 170, Farmington Hills, MI 48334 Phone: 248-539-0729 Fax: 248-539-0729 | |
Lauren Noel Cole, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 28100 Grand River Ave Ste 313, Farmington Hills, MI 48336 Phone: 947-521-7150 | |
Dr. Lauren Brown Faraj, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 28100 Grand River Ave Ste 313, Farmington Hills, MI 48336 Phone: 947-521-7150 | |
Dr. Hassan Kassem, MD, MBA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28545 Orchard Lake Rd Unit 1, Farmington Hills, MI 48334 Phone: 248-365-6064 Fax: 248-516-3145 | |
Dr. Joanne Louise Mckune, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36253 Old Homestead Dr, Farmington Hills, MI 48335 Phone: 248-477-1433 | |
Dr. Ashley Fulton, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 28100 Grand River Ave Ste 313, Farmington Hills, MI 48336 Phone: 947-521-7150 |