| Justin Elijah Trivax, MD | |
|
31500 Telegraph Rd, Suite 115, Bingham Farms, MI 48025-4367 | |
| (248) 594-4913 | |
| (248) 594-4928 |
| Full Name | Justin Elijah Trivax |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 22 Years |
| Location | 31500 Telegraph Rd, Bingham Farms, 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 |
|---|---|---|---|
| 1174566095 | NPI | - | NPPES |
| 1174566095 | Medicaid | MI | |
| 700H273300 | Other | MI | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301081886 (Michigan) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 4301081886 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Beaumont Hospital - Farmington Hills | Farmington hills, 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 Healthcare Professionals Pc | 0345413258 | 463 |
| Atria Vascular And Vein, Pllc | 1850701616 | 4 |
| Omg 1pc | 4183536238 | 17 |
| Entity Name | Mmg 1 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912933540 PECOS PAC ID: 6103738638 Enrollment ID: O20031104000106 |
| Entity Name | Ascension Macomb Oakland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518124320 PECOS PAC ID: 7315859725 Enrollment ID: O20031104000571 |
| Entity Name | Omg 1pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891737466 PECOS PAC ID: 4183536238 Enrollment ID: O20031105000645 |
| Entity Name | Michigan Healthcare Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Entity Name | Limb Preservation Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295223998 PECOS PAC ID: 2365783370 Enrollment ID: O20190401000238 |
| Entity Name | Atria Vascular & Vein, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902413891 PECOS PAC ID: 1850701616 Enrollment ID: O20201105001693 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Elijah Trivax, MD 29992 Northwestern Hwy, Suite C, Farmington Hills, MI 48334-3292 Ph: (248) 851-1430 | Justin Elijah Trivax, MD 31500 Telegraph Rd, Suite 115, Bingham Farms, MI 48025-4367 Ph: (248) 594-4913 |
Dr. Patricia Ann Schmidt, D.O. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 30400 Telegraph Rd, Suite 334, Bingham Farms, MI 48025 Phone: 800-311-5365 Fax: 248-681-8927 | |
Tania Little, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 31500 Telegraph Rd Ste 225, Bingham Farms, MI 48025 Phone: 248-552-0620 Fax: 248-594-6745 | |
Rushdah Saeed Malik, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 31500 Telegraph Rd, Ste 225, Bingham Farms, MI 48025 Phone: 248-552-0620 Fax: 248-530-9899 | |
Ms. Elizabeth J Stellema, NP-C Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 30800 Telegraph Rd, Bingham Farms, MI 48025 Phone: 248-347-9437 | |
Dr. Judith L Bateman, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 32270 Telegraph Rd, Suite 120, Bingham Farms, MI 48025 Phone: 248-646-1965 Fax: 248-646-7293 | |
Dr. Steven M Korotkin, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 32270 Telegraph Rd, Ste 100, Bingham Farms, MI 48025 Phone: 248-258-2888 Fax: 248-258-6849 |