| Mazen M Bazzi, DO | |
|
15370 Levan Road, Suite 1, Livonia, MI 48154-1903 | |
| (734) 462-8401 | |
| (734) 462-1410 |
| Full Name | Mazen M Bazzi |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 16 Years |
| Location | 15370 Levan Road, Livonia, 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 |
|---|---|---|---|
| 1356590459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 5101016323 (Michigan) | Primary |
| 208600000X | Surgery | 5101016323 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Beaumont Hospital - Taylor | Taylor, MI | Hospital |
| St Joe Mercy Hospital System Livonia | Livonia, MI | Hospital |
| Beaumont Hospital - Wayne | Wayne, MI | Hospital |
| Beaumont Hospital - Trenton | Trenton, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vellore R Ramakrishnan M.d., P.c. | 3476682535 | 3 |
| Entity Name | Vellore R Ramakrishnan M.d., P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871624072 PECOS PAC ID: 3476682535 Enrollment ID: O20100527000516 |
| Entity Name | Access And Vascular Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831520212 PECOS PAC ID: 8628200987 Enrollment ID: O20140421000837 |
| Mailing Address | Practice Location Address |
|---|---|
| Mazen M Bazzi, DO 15370 Levan Road, Suite 1, Livonia, MI 48154-1903 Ph: (734) 462-8401 | Mazen M Bazzi, DO 15370 Levan Road, Suite 1, Livonia, MI 48154-1903 Ph: (734) 462-8401 |
Floro D Rosario, MD Surgery Medicare: Medicare Enrolled Practice Location: 15136 Levan Road, Livonia, MI 48154 Phone: 734-779-2130 Fax: 734-779-2152 | |
Thomas Daniel Oweis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 36475 5 Mile Rd, Attn: Trauma Services, Livonia, MI 48154 Phone: 734-655-4800 | |
Amanda Mahoney, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 37595 7 Mile Rd Ste 340, Livonia, MI 48152 Phone: 734-793-2470 Fax: 734-793-2471 | |
Dr. Joshua Payne, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 14555 Levan Rd, Suite 311, Livonia, MI 48154 Phone: 734-655-2692 Fax: 734-655-4218 | |
Robert A Frank, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 28803 8 Mile Rd Ste 101, Livonia, MI 48152 Phone: 504-842-4000 | |
Anna Shu, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 14555 Levan Rd, Suite 311, Livonia, MI 48154 Phone: 734-655-2692 Fax: 734-655-4218 |