| Jacob Michael Burke, | |
|
6071 W Outer Dr, Detroit, MI 48235-2624 | |
| (313) 966-1020 | |
| Not Available |
| Full Name | Jacob Michael Burke |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 7 Years |
| Location | 6071 W Outer Dr, Detroit, 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 |
|---|---|---|---|
| 1013413673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301503928 (Michigan) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Munson Healthcare Grayling Hospital | Grayling, MI | Hospital |
| Munson Healthcare Cadillac Hospital | Cadillac, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Interlochen Emergency Group Pc | 3577918606 | 45 |
| Caberfae Emergency Group Pc | 4082069232 | 43 |
| Hawk Emergency Group, P.c. | 6800241050 | 45 |
| Entity Name | Caberfae Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447932504 PECOS PAC ID: 4082069232 Enrollment ID: O20231009002608 |
| Entity Name | Hawk Emergency Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073295135 PECOS PAC ID: 6800241050 Enrollment ID: O20231009002612 |
| Entity Name | Interlochen Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336821495 PECOS PAC ID: 3577918606 Enrollment ID: O20231010002820 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Michael Burke, 1395 Antietam Ave Apt 59, Detroit, MI 48207-2875 Ph: (586) 246-1645 | Jacob Michael Burke, 6071 W Outer Dr, Detroit, MI 48235-2624 Ph: (313) 966-1020 |
Dr. Gerard Edward Heath, MD, MBA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Robert T Malinowski, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3300 | |
Dr. Kamal K Nangia, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8040 | |
Dr. Matthew J Griffin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3300 | |
Gregory L. Hays, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Brooke M Frakes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-1024 |