| Moutamn Sadoun, MD | |
|
29000 Little Mack Ave Ste B, Saint Clair Shores, MI 48081-3018 | |
| (586) 774-8811 | |
| (586) 774-6773 |
| Full Name | Moutamn Sadoun |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 22 Years |
| Location | 29000 Little Mack Ave Ste B, Saint 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 |
|---|---|---|---|
| 1528321809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | R73297 (Arizona) | Secondary |
| 208600000X | Surgery | 4301111192 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension St John Hospital | 3173424082 | 305 |
| Acute Care Surgeons Pc | 6002956265 | 9 |
| Entity Name | Ascension Medical Group Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942317631 PECOS PAC ID: 0648180406 Enrollment ID: O20031113000362 |
| Entity Name | Ascension 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 | Ascension River District Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265486245 PECOS PAC ID: 0446153407 Enrollment ID: O20040203000465 |
| Entity Name | Acute Care Surgeons Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730415753 PECOS PAC ID: 6002956265 Enrollment ID: O20091218000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Moutamn Sadoun, MD 29000 Little Mack Ave Ste B, Saint Clair Shores, MI 48081-3018 Ph: (586) 774-8811 | Moutamn Sadoun, MD 29000 Little Mack Ave Ste B, Saint Clair Shores, MI 48081-3018 Ph: (586) 774-8811 |
Jimmy Charbel Haouilou, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 29519 Harper Ave, Saint Clair Shores, MI 48081 Phone: 586-270-5100 Fax: 586-270-5111 | |
Afroze Ahmed, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 29000 Little Mack Ave Ste A, Saint Clair Shores, MI 48081 Phone: 586-343-8717 | |
Dr. Nagalingappa Bhadra Chari, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 29900 Harper Ave, Saint Clair Shores, MI 48082 Phone: 586-294-4440 | |
Steven R Hendrick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 25631 Little Mack Ave Lowr Level, Saint Clair Shores, MI 48081 Phone: 586-443-2998 Fax: 586-443-2309 | |
Dr. Anastasya Chuchulo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 29000 Little Mack Ave Ste A, Saint Clair Shores, MI 48081 Phone: 586-343-8717 Fax: 586-343-8773 | |
Karen L. Summe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 29000 Little Mack Ave Ste B, Saint Clair Shores, MI 48081 Phone: 586-774-8811 Fax: 586-774-6773 | |
Dr. Mohammed Sahly, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 29000 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-774-8811 |