| 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 |
| Location | 20411 W 12 Mile Rd Ste 102, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
|---|---|---|---|
| 208D00000X | General Practice | 4301049187 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | MW049187 (Michigan) | Primary |
| 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 |
Dr. Lindsay Anne Richmond-pruneau, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. James Bishop Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. Howard Fertel, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. Ann Marsh-senic, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. Gary Pilchak, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. Nirmal Nandakumar, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Andrew Solway, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2407 |