| Jimmy Charbel Haouilou, MD | |
|
29519 Harper Ave, Saint Clair Shores, MI 48081 | |
| (586) 270-5100 | |
| (586) 270-5111 |
| Full Name | Jimmy Charbel Haouilou |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 22 Years |
| Location | 29519 Harper Ave, Saint Clair Shores, 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 |
|---|---|---|---|
| 1063676286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4301084691 (Michigan) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 4301084691 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Hospital | Detroit, MI | Hospital |
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
| Ascension River District Hospital | East china, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Vascular Associates Pllc | 0042430548 | 3 |
| Entity Name | Premier Vascular Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972904951 PECOS PAC ID: 0042430548 Enrollment ID: O20141006000508 |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy Charbel Haouilou, MD 29519 Harper Ave, Saint Clair Shores, MI 48081-1275 Ph: (586) 270-5100 | Jimmy Charbel Haouilou, MD 29519 Harper Ave, Saint Clair Shores, MI 48081 Ph: (586) 270-5100 |
Afroze Ahmed, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 29000 Little Mack Ave Ste A, Saint Clair Shores, MI 48081 Phone: 586-343-8717 | |
Dr. Nagalingappa Bhadra Chari, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 29900 Harper Ave, Saint Clair Shores, MI 48082 Phone: 586-294-4440 | |
Steven R Hendrick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 25631 Little Mack Ave Lowr Level, Saint Clair Shores, MI 48081 Phone: 586-443-2998 Fax: 586-443-2309 | |
Dr. Anastasya Chuchulo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 29000 Little Mack Ave Ste A, Saint Clair Shores, MI 48081 Phone: 586-343-8717 Fax: 586-343-8773 | |
Karen L. Summe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 29000 Little Mack Ave Ste B, Saint Clair Shores, MI 48081 Phone: 586-774-8811 Fax: 586-774-6773 | |
Dr. Mohammed Sahly, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 29000 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-774-8811 |