| James Lyddon, DO | |
|
32255 Northwestern Hwy Ste 100, Farmington Hills, MI 48334-1573 | |
| (248) 945-0000 | |
| (248) 945-1819 |
| Full Name | James Lyddon |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 32255 Northwestern Hwy Ste 100, Farmington Hills, 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 |
|---|---|---|---|
| 1992770986 | NPI | - | NPPES |
| 4802606 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5101009720 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Healthcare Professionals Pc | 0345413258 | 463 |
| Omg 1pc | 4183536238 | 17 |
| Mmg 1 Pc | 6103738638 | 7 |
| Entity Name | Mmg 1 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912933540 PECOS PAC ID: 6103738638 Enrollment ID: O20031104000106 |
| Entity Name | Omg 1pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891737466 PECOS PAC ID: 4183536238 Enrollment ID: O20031105000645 |
| Entity Name | Michigan Healthcare Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Mailing Address | Practice Location Address |
|---|---|
| James Lyddon, DO 29992 Northwestern Hwy Ste C, Farmington Hills, MI 48334-3292 Ph: (248) 851-1430 | James Lyddon, DO 32255 Northwestern Hwy Ste 100, Farmington Hills, MI 48334-1573 Ph: (248) 945-0000 |
Elias Antypas, Radiology Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 Fax: 248-471-8803 | |
Mrs. Deeshali Shah, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 559-789-7547 | |
Dr. Joshua Martin Similuk, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8224 | |
Dr. Steven Joel Zuckerman, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8371 | |
Dr. Steven Wallace Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8399 | |
Dr. Eric Joseph Biondo-savin, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 28595 Orchard Lake Rd Ste 200, Farmington Hills, MI 48334 Phone: 248-553-0010 Fax: 248-553-5957 | |
Jason Patrick Sullivan, DO Radiology Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 |