| Leopold M Fregoli, MD | |
|
1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 | |
| (810) 985-0029 | |
| (810) 985-0032 |
| Full Name | Leopold M Fregoli |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 1530 Pine Grove Ave, Port Huron, 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 |
|---|---|---|---|
| 1942212709 | NPI | - | NPPES |
| 4094800 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 063336 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Port Huron | Port huron, MI | Hospital |
| Ascension St John Hospital | Detroit, MI | Hospital |
| Ascension River District Hospital | East china, MI | Hospital |
| Mckenzie Health System | Sandusky, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| X-ray Associates Of Port Huron P C | 5395789531 | 28 |
| Entity Name | X-ray Associates Of Port Huron P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801967583 PECOS PAC ID: 5395789531 Enrollment ID: O20050617000539 |
| Entity Name | Mawan Shuayto Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578819850 PECOS PAC ID: 3072764596 Enrollment ID: O20121109000580 |
| Mailing Address | Practice Location Address |
|---|---|
| Leopold M Fregoli, MD 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 Ph: (810) 985-0029 | Leopold M Fregoli, MD 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 Ph: (810) 985-0029 |
David P Tracy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 Phone: 810-985-0029 Fax: 810-985-0032 | |
Clare A Scheurer Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 Phone: 810-985-0029 Fax: 810-985-0032 | |
Sameh A S A Saif, Radiology Medicare: Not Enrolled in Medicare Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-989-3172 | |
Kaneez Batool Shaikh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1530 Pine Grove Avenue, Suite 7, Port Huron, MI 48060 Phone: 810-985-0029 Fax: 810-985-0032 | |
Kanu B Dalal, MD Radiology Medicare: Medicare Enrolled Practice Location: 1221 Pine Grove Ave, Radiology Dept, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-0032 | |
Rajeev Srinivasa Aravapalli, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
Herminio C Calderon, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1530 Pine Grove Ave, Suite 7, Port Huron, MI 48060 Phone: 810-985-0029 Fax: 810-985-0032 |