| John L Damiani, DO | |
|
214 E Elm Ave Ste 101, Monroe, MI 48162 | |
| (734) 243-9620 | |
| (734) 243-3565 |
| Full Name | John L Damiani |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 38 Years |
| Location | 214 E Elm Ave Ste 101, Monroe, 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 |
|---|---|---|---|
| 1578534384 | NPI | - | NPPES |
| 4265480 | Medicaid | MI | |
| 0238703 | Medicaid | OH | |
| H592500 | Other | OH | MEDICARE PIN |
| 0E06273 | Other | MI | BCBSM |
| 0H210660 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 34012721 (Ohio) | Secondary |
| 208800000X | Urology | 5101010249 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Monroe Regional Hospital | Monroe, MI | Hospital |
| Emma L Bixby Medical Center | Adrian, MI | Hospital |
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Promedica Genito-urinary Surgeons Llc | 3971757238 | 18 |
| Promedica Genito-urinary Surgeons Llc | 3971757238 | 18 |
| Entity Name | Promedica Genito-urinary Surgeons Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366795221 PECOS PAC ID: 3971757238 Enrollment ID: O20130926000835 |
| Mailing Address | Practice Location Address |
|---|---|
| John L Damiani, DO 214 E Elm Ave Ste 101, Monroe, MI 48162-2678 Ph: (734) 243-9620 | John L Damiani, DO 214 E Elm Ave Ste 101, Monroe, MI 48162 Ph: (734) 243-9620 |
Dr. Ramachandran S Nair, M.D., Urology Medicare: Not Enrolled in Medicare Practice Location: 905 N Macomb St, Monroe, MI 48162 Phone: 734-243-9620 Fax: 734-243-3565 | |
Dr. Ashwin H Shah, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 730 N Macomb St, Ste 319, Monroe, MI 48162 Phone: 734-241-3900 Fax: 734-241-3538 |