| Mark Mishack, MD | |
|
15945 19 Mile Rd, Ste 104, Clinton Township, MI 48038-1147 | |
| (586) 228-6603 | |
| (586) 228-6613 |
| Full Name | Mark Mishack |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 38 Years |
| Location | 15945 19 Mile Rd, Clinton Township, 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 |
|---|---|---|---|
| 1831191485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | MM062491 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc Dialysis Services-romeo Plank | Macomb, MI | Dialysis facility |
| Fresenius Dialysis Services Of Shelby | Shelby township, MI | Dialysis facility |
| Henry Ford Health Macomb Hospital | Clinton township, MI | Hospital |
| Henry Ford Rochester Hospital | Rochester, MI | Hospital |
| Henry Ford Health Hospital | Detroit, MI | Hospital |
| Corewell Health Beaumont Troy Hospital | Troy, MI | Hospital |
| Entity Name | Kidney & Hypertension Center PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093956799 PECOS PAC ID: 4486702792 Enrollment ID: O20090424000349 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Mishack, MD 15945 19 Mile Rd, Ste 104, Clinton Township, MI 48038-1147 Ph: (586) 228-6603 | Mark Mishack, MD 15945 19 Mile Rd, Ste 104, Clinton Township, MI 48038-1147 Ph: (586) 228-6603 |
Joseph C. O'laughlin, D.O. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 37399 Garfield Rd, Suite 104, Clinton Township, MI 48036 Phone: 586-286-5400 Fax: 586-263-4831 |
Dr. Eva Saha, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 43361 Commons Dr, Clinton Township, MI 48038 Phone: 586-263-7190 Fax: 586-263-7177 |
Nathalia Millan-borrero, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 36500 S Gratiot Ave Ste 102, Clinton Township, MI 48035 Phone: 586-790-9003 Fax: 586-493-3603 |
Edin Basic, D.O Nephrology Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2950 |
Dr. Ayman Mohamed Suleiman, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300 |
Dale William Beaumont, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 42633 Garfield Rd Ste 318, Clinton Township, MI 48038 Phone: 586-286-7670 Fax: 586-286-5179 |
Samuel H. Gun, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 37399 Garfield Rd, Suite 104, Clinton Township, MI 48036 Phone: 586-286-5400 Fax: 586-263-4831 |