| Hicham Churbaji, MD | |
|
2137 W M 61, Gladwin, MI 48624-8463 | |
| (989) 426-9399 | |
| (989) 246-2257 |
| Full Name | Hicham Churbaji |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 2137 W M 61, Gladwin, 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 |
|---|---|---|---|
| 1629023924 | NPI | - | NPPES |
| 1629023924 | Medicaid | MI | |
| 383567566100 | Other | MI | COMMUNITY CHOICE |
| 110B610050 | Other | MI | BCBS OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | HC065531 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Walton Hospital | Monroe, GA | Hospital |
| Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Afc Physicians Of Georgia Pc | 0345493375 | 5 |
| Emergency Coverage Llc | 3072412592 | 530 |
| Entity Name | Chestatee Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366474777 PECOS PAC ID: 5395657514 Enrollment ID: O20031105000156 |
| Entity Name | United Emergency Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326007915 PECOS PAC ID: 5799697272 Enrollment ID: O20040819000058 |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056 |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
| Entity Name | Hartwell Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962540849 PECOS PAC ID: 6709980022 Enrollment ID: O20070327000195 |
| Entity Name | Afc Physicians Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982950671 PECOS PAC ID: 0345493375 Enrollment ID: O20121226000357 |
| Mailing Address | Practice Location Address |
|---|---|
| Hicham Churbaji, MD 3061 Christy Way, Saginaw, MI 48603-2267 Ph: (989) 791-2455 | Hicham Churbaji, MD 2137 W M 61, Gladwin, MI 48624-8463 Ph: (989) 426-9399 |
Cheryl S Loubert, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 609 Quarter St, Gladwin, MI 48624 Phone: 989-246-6471 Fax: 989-246-6486 |