| John C Panos, MD | |
|
20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 | |
| (586) 771-4820 | |
| (586) 771-6620 |
| Full Name | John C Panos |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 29 Years |
| Location | 20952 E 12 Mile Rd Ste 200, 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 |
|---|---|---|---|
| 1346293412 | NPI | - | NPPES |
| 4689705 | Medicaid | MI | |
| P00176795 | Other | MI | RR MC |
| 2206344162 | Other | MI | B S |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 070447 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Mclaren Central Michigan | Mount pleasant, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Institute Of Urology Pc | 1052223492 | 77 |
| Natalia I Rush Md Pc | 5193257137 | 3 |
| Entity Name | Michigan Institute Of Urology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427027416 PECOS PAC ID: 1052223492 Enrollment ID: O20031125000770 |
| Entity Name | Northern Pathology Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578546420 PECOS PAC ID: 1254225295 Enrollment ID: O20040211000435 |
| Entity Name | Natalia I Rush Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033940028 PECOS PAC ID: 5193257137 Enrollment ID: O20241016001449 |
| Mailing Address | Practice Location Address |
|---|---|
| John C Panos, MD 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 Ph: (867) 714-8205 | John C Panos, MD 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 Ph: (586) 771-4820 |
Yasin K Ahmed, M.D Pathology Medicare: Not Enrolled in Medicare Practice Location: 919 Shore Club Dr, Saint Clair Shores, MI 48080 Phone: 586-344-3101 |