| Dr Kathleen L Yaremchuk, MD | |
|
2799 W Grand Blvd, Detroit, MI 48202-2608 | |
| (313) 916-3275 | |
| (313) 916-7263 |
| Full Name | Dr Kathleen L Yaremchuk |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Location | 2799 W Grand Blvd, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023184496 | NPI | - | NPPES |
| 153170610 | Medicaid | MI | |
| KY046820 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| 700H262260 | Other | BLUE CROSS-BLUE CROSS | |
| KY046820 | Other | CHAMPUS-CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 046820 (Michigan) | Primary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kathleen L Yaremchuk, MD 2799 W Grand Blvd # K8, Detroit, MI 48202-2608 Ph: (313) 916-3275 | Dr Kathleen L Yaremchuk, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-3275 |
Dr. Samba Siva Reddy Bathula, M.D Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4160 John R St Ste 1007, Dmc Ent-harper Professional Building, Detroit, MI 48201 Phone: 313-966-9471 Fax: 313-966-9470 | |
Dr. Lamont Jones, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Department Of Otolaryngology, Henry Ford Hospital, Detroit, MI 48202 Phone: 313-916-3272 Fax: 313-916-7263 | |
Dr. Joshua Romero, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Robert Hadi Deeb, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3275 | |
Nathan Gonik, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3901 Beaubien St, Suite 2102, Detroit, MI 48201 Phone: 313-966-6443 Fax: 313-745-0747 | |
Dr. Ilaaf Darrat, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-587-3523 |