| Marc Oliver Gosselin, DO | |
|
24211 Little Mack Ave, St Clair Shores, MI 48080-1190 | |
| (586) 498-0440 | |
| (586) 498-0401 |
| Full Name | Marc Oliver Gosselin |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 36 Years |
| Location | 24211 Little Mack 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 |
|---|---|---|---|
| 1508814989 | NPI | - | NPPES |
| 3474289 | Medicaid | MI | |
| 11 | Other | MI | 11 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 5101010983 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Health -st John Hospital | Detroit, MI | Hospital |
| Corewell Health Beaumont Grosse Pointe Hospital | Grosse pointe, MI | Hospital |
| Corewell Health Beaumont Troy Hospital | Troy, MI | Hospital |
| Henry Ford Health River District Hospital | East china, MI | Hospital |
| Henry Ford Health Warren Hospital | Warren, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastlake Cardiovascular Pc | 4688562176 | 22 |
| Henry Ford Health St. John Hospital | 3173424082 | 332 |
| Entity Name | Henry Ford Health Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
| Entity Name | Henry Ford Health St. John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Entity Name | Eastlake Cardiovascular PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982657474 PECOS PAC ID: 4688562176 Enrollment ID: O20040308000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Oliver Gosselin, DO 24211 Little Mack Ave, St Clair Shores, MI 48080-1190 Ph: (586) 498-0440 | Marc Oliver Gosselin, DO 24211 Little Mack Ave, St Clair Shores, MI 48080-1190 Ph: (586) 498-0440 |
Sudhanshu Patel, MD Cardiovascular Disease 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 Cardiovascular Disease 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. Cardiovascular Disease 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 Cardiovascular Disease 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 Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 28315 Harper Avenue, St Clair Shores, MI 48081 Phone: 586-552-1710 Fax: 586-552-1715 |
Magdy George Wanis, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 23600 Harper Ave, Ste 103, St Clair Shores, MI 48080 Phone: 586-585-2570 Fax: 586-585-2574 |
Harivallabh D Pandya, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 28300 Harper Ave, St Clair Shores, MI 48081 Phone: 586-778-6090 Fax: 586-778-1943 |