| Jacob Edward Roberts, DO | |
|
14555 Levan Rd, Marion Professional Building Suite 311, Livonia, MI 48154-5083 | |
| (734) 655-2692 | |
| (734) 655-4218 |
| Full Name | Jacob Edward Roberts |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 23 Years |
| Location | 14555 Levan Rd, Livonia, 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 |
|---|---|---|---|
| 1831218817 | NPI | - | NPPES |
| 0256305894 | Other | MI | BCBSM INDIV |
| 010H233560 | Other | MI | BCBSM GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 5101015635 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joe Mercy Hospital System Livonia | Livonia, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iha Olma Specialty 1 Llc | 6901206689 | 59 |
| Entity Name | St Mary Mercy Physician Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568630077 PECOS PAC ID: 4587742804 Enrollment ID: O20080425000614 |
| Entity Name | Iha Olma Specialty 1 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891371118 PECOS PAC ID: 6901206689 Enrollment ID: O20210617000949 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Edward Roberts, DO 7932 Goshen Dr, West Bloomfield, MI 48322-5002 Ph: (248) 417-7730 | Jacob Edward Roberts, DO 14555 Levan Rd, Marion Professional Building Suite 311, Livonia, MI 48154-5083 Ph: (734) 655-2692 |
Floro D Rosario, MD Surgery Medicare: Medicare Enrolled Practice Location: 15136 Levan Road, Livonia, MI 48154 Phone: 734-779-2130 Fax: 734-779-2152 | |
Thomas Daniel Oweis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 36475 5 Mile Rd, Attn: Trauma Services, Livonia, MI 48154 Phone: 734-655-4800 | |
Amanda Mahoney, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 37595 7 Mile Rd Ste 340, Livonia, MI 48152 Phone: 734-793-2470 Fax: 734-793-2471 | |
Dr. Joshua Payne, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 14555 Levan Rd, Suite 311, Livonia, MI 48154 Phone: 734-655-2692 Fax: 734-655-4218 | |
Robert A Frank, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 28803 8 Mile Rd Ste 101, Livonia, MI 48152 Phone: 504-842-4000 | |
Anna Shu, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 14555 Levan Rd, Suite 311, Livonia, MI 48154 Phone: 734-655-2692 Fax: 734-655-4218 | |
Mazen M Bazzi, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15370 Levan Road, Suite 1, Livonia, MI 48154 Phone: 734-462-8401 Fax: 734-462-1410 |