| Karl Martin Doelle, DO | |
|
1000 Harrington St, Mount Clemens, MI 48043-2920 | |
| (586) 493-8098 | |
| (586) 493-8706 |
| Full Name | Karl Martin Doelle |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 32 Years |
| Location | 1000 Harrington St, Mount Clemens, 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 |
|---|---|---|---|
| 1659316842 | NPI | - | NPPES |
| 4458726 | Medicaid | MI | |
| 3155000384 | Other | MI | BCBS INDIVIDUAL # |
| 4423785 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5101011989 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Macomb | Mount clemens, MI | Hospital |
| Mclaren Bay Region | Bay city, MI | Hospital |
| Midmichigan Medical Center-midland | Midland, MI | Hospital |
| Mclaren Oakland | Pontiac, MI | Hospital |
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Medical Group | 3971416082 | 314 |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Entity Name | General Radiology Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801801519 PECOS PAC ID: 4981518644 Enrollment ID: O20031117000659 |
| Entity Name | Basha Diagnostics P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770693798 PECOS PAC ID: 5890681746 Enrollment ID: O20040226000460 |
| Entity Name | Nds Radiology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649418211 PECOS PAC ID: 2062408875 Enrollment ID: O20090512000117 |
| Entity Name | Ain Imaging Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437441714 PECOS PAC ID: 1355513003 Enrollment ID: O20111003000075 |
| Mailing Address | Practice Location Address |
|---|---|
| Karl Martin Doelle, DO Po Box 1108, Attention: Barbra Simmons, Ann Arbor, MI 48106-1108 Ph: (734) 677-7400 | Karl Martin Doelle, DO 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (586) 493-8098 |
Dr. Affaan Khan Bangash, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 630-776-3318 | |
Surender Kurapati, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8098 Fax: 586-493-8706 | |
Anthony L Kudirka, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8098 Fax: 586-493-8706 | |
Timothy P Pierron, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8098 Fax: 586-793-8706 | |
Jeremy S Kendra, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8098 Fax: 586-493-8706 | |
Dr. Tejas Ajay Dalal, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 734-677-7400 | |
George L. Figacz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Radiology Dept, Mount Clemens, MI 48043 Phone: 586-493-8098 |