| Lisa R Rogers, DO | |
|
2333 Biddle Ave, Wyandotte, MI 48192-4668 | |
| (313) 916-2723 | |
| Not Available |
| Full Name | Lisa R Rogers |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 49 Years |
| Location | 2333 Biddle Ave, Wyandotte, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124109251 | NPI | - | NPPES |
| 4850149 | Medicaid | MI | |
| P00880297 | Other | OH | RR MEDICARE |
| 0569157 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 34.003427 (Ohio) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 5101011925 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Hospital | Detroit, MI | Hospital |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health System | 0547178311 | 2304 |
| Henry Ford Wyandotte Hospital | 2264334499 | 162 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184708406 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000402 |
| Entity Name | Henry Ford Wyandotte Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700145851 PECOS PAC ID: 2264334499 Enrollment ID: O20120920000394 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa R Rogers, DO 1 Ford Pl Ste 2e, Detroit, MI 48202-3450 Ph: (313) 874-4806 | Lisa R Rogers, DO 2333 Biddle Ave, Wyandotte, MI 48192-4668 Ph: (313) 916-2723 |
Mr. Pawan K Garg, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2814 Electric, Wyandotte, MI 48192 Phone: 734-284-6050 Fax: 734-284-6552 | |
Dr. Valrie M Honablue, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Balbir Gandhi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2025 Ford Ave, Wyandotte, MI 48192 Phone: 734-281-3080 | |
Dr. Surjit Singh Mahal, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1404 Biddle Ave, Wyandotte, MI 48192 Phone: 734-324-8000 Fax: 734-324-0993 | |
Yousif Kessar Tawadros, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-7901 | |
Mr. Harrison Reed Long, PA Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 375 Eureka Rd Ste B, Wyandotte, MI 48192 Phone: 734-258-8386 Fax: 734-258-8389 |