| Michael Gregory Williams, MD | |
|
20411 W 12 Mile Rd Ste 102, Southfield, MI 48076-6404 | |
| (248) 905-3194 | |
| (248) 905-3548 |
| Full Name | Michael Gregory Williams |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 42 Years |
| Location | 20411 W 12 Mile Rd Ste 102, Southfield, 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 |
|---|---|---|---|
| 1578561304 | NPI | - | NPPES |
| P00943709 | Other | MI | RAILROAD MEDICARE IND PIN |
| 1578561304 | Medicaid | MI | |
| 0108118302 | Other | MI | BCBS IND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MW049187 (Michigan) | Secondary |
| 208D00000X | General Practice | 4301049187 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pilgrim Manor | Grand rapids, MI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Theoria Medical | 5395098339 | 414 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Gregory Williams, MD 20411 W 12 Mile Rd Ste 102, Southfield, MI 48076-6404 Ph: (248) 905-3194 | Michael Gregory Williams, MD 20411 W 12 Mile Rd Ste 102, Southfield, MI 48076-6404 Ph: (248) 905-3194 |
Mr. Vicha Janviriya, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 20905 Greenfield Rd, Suite 603m, Southfield, MI 48075 Phone: 248-268-4464 Fax: 248-268-4465 | |
Dr. Elizer Garcia, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy Ste 114, Southfield, MI 48075 Phone: 248-278-8937 | |
Ardeshir E Said, MD General Practice Medicare: Medicare Enrolled Practice Location: 21700 Northwestern Hwy, Suite 801, Southfield, MI 48075 Phone: 248-440-0920 Fax: 248-440-0929 | |
Derrick Williamson, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 20755 Greenfield Rd Ste 100, Southfield, MI 48075 Phone: 947-282-5009 Fax: 248-809-2319 | |
Dr. Rebecca Kathleene Motley, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 20245 W 12 Mile Rd Ste 120, Southfield, MI 48076 Phone: 248-552-1327 Fax: 248-552-1183 | |
Ms. Esther Arhin-, General Practice Medicare: Not Enrolled in Medicare Practice Location: 28475 Greenfield Rd, Suite 119, Southfield, MI 48076 Phone: 248-327-7966 | |
Daphine Ann Brown, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 20905 Greenfield Rd, Suite 306, Southfield, MI 48075 Phone: 248-569-9641 Fax: 248-569-9643 |