| Magdy George Wanis, MD | |
|
23600 Harper Ave, Ste 103, St Clair Shores, MI 48080 | |
| (586) 585-2570 | |
| (586) 585-2574 |
| Full Name | Magdy George Wanis |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 23600 Harper Ave, St Clair Shores, 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 |
|---|---|---|---|
| 1346353224 | NPI | - | NPPES |
| G89641 | Other | HAP | |
| P00051536 | Other | MEDICARE RR | |
| 912517500 | Medicaid | FL | |
| P105025 | Other | BCN | |
| 1105007952 | Other | BCBS | |
| 127679 | Other | CARE CHOICES | |
| 7189170 | Other | AETNA | |
| C7549 | Other | MCARE | |
| 4243830 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MW065519 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Hospital | Detroit, MI | Hospital |
| Entity Name | Lakeview Medical Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285950162 PECOS PAC ID: 0840482188 Enrollment ID: O20101005001198 |
| Entity Name | Baco Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780294850 PECOS PAC ID: 6103286737 Enrollment ID: O20230714000925 |
| Mailing Address | Practice Location Address |
|---|---|
| Magdy George Wanis, MD 23600 Harper Ave, Ste 103, St Clair Shores, MI 48080 Ph: (586) 585-2570 | Magdy George Wanis, MD 23600 Harper Ave, Ste 103, St Clair Shores, MI 48080 Ph: (586) 585-2570 |
Sudhanshu Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28963 Little Mack Ave, Suite 101, St Clair Shores, MI 48081 Phone: 586-447-0700 Fax: 586-498-0707 | |
Dr. George B Ghanem, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24211 Little Mack Ave, St Clair Shores, MI 48080 Phone: 586-498-0440 Fax: 586-498-0401 | |
Wafaa S. Hanna, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25319 Little Mack Ave, St Clair Shores, MI 48081 Phone: 586-447-4000 Fax: 586-447-4009 | |
Thomas Patrick Davis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24211 Little Mack Ave, St Clair Shores, MI 48080 Phone: 586-498-0440 Fax: 586-498-0401 | |
Eric Newman Neisch, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28315 Harper Avenue, St Clair Shores, MI 48081 Phone: 586-552-1710 Fax: 586-552-1715 | |
Harivallabh D Pandya, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 28300 Harper Ave, St Clair Shores, MI 48081 Phone: 586-778-6090 Fax: 586-778-1943 |