| Jerry Zachariah Oommen, DO | |
|
28050 Grand River Ave, Farmington Hills, MI 48336-5919 | |
| (248) 797-1280 | |
| Not Available |
| Full Name | Jerry Zachariah Oommen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 28050 Grand River Ave, Farmington Hills, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215503735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5151014890 (Michigan) | Primary |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Zachariah Oommen, DO 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 Ph: (202) 741-3000 | Jerry Zachariah Oommen, DO 28050 Grand River Ave, Farmington Hills, MI 48336-5919 Ph: (248) 797-1280 |
Christine Carline, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 | |
Diane L Kaiser, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 28050 Grand River Avenue, Farmington Hills, MI 48336 Phone: 248-471-8000 | |
Richard W Traicoff, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Avenue, Er Department, Farmington Hills, MI 48336 Phone: 248-471-8000 | |
Iven Thair Ayyar, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8822 | |
Dr. Paul Marvin Pustinger, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8000 | |
Dr. Shradha Shah, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Botsford Hospital Emergency Department, Farmington Hills, MI 48336 Phone: 248-471-8808 | |
Dr. Kirsten Young, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8000 |