| Juan Rene Frontera, MD | |
|
20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 | |
| (586) 771-4820 | |
| (586) 771-6620 |
| Full Name | Juan Rene Frontera |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 40 Years |
| Location | 20952 E 12 Mile Rd, St 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 |
|---|---|---|---|
| 1679538904 | NPI | - | NPPES |
| F10966 | Other | MI | HAP |
| 132311 | Other | MI | PRIORITY HEALTH |
| 5733698 | Other | MI | AETNA |
| 3235841007 | Other | MI | CIGNA |
| 340019038 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 4301053764 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Hospital | Detroit, MI | Hospital |
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Ascension Providence - Crittenton Hospital Medical Center | Rochester, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Institute Of Urology Pc | 1052223492 | 77 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Rene Frontera, MD 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 Ph: (586) 771-4820 | Juan Rene Frontera, MD 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 Ph: (586) 771-4820 |
Brian V Guz, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
Alphonse M Santino, MD Urology Medicare: Medicare Enrolled Practice Location: 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
James J Boutrous, MD Urology Medicare: Medicare Enrolled Practice Location: 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
Shiva J Maralani, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
Valal K George, M.D. Urology Medicare: Medicare Enrolled Practice Location: 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
Edward W Schervish, MD Urology Medicare: Medicare Enrolled Practice Location: 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 |