| Paul K Fozo, MD | |
|
50505 Schoenherr Rd, Suite 340, Shelby Township, MI 48315-3140 | |
| (586) 731-8400 | |
| (586) 731-8406 |
| Full Name | Paul K Fozo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 23 Years |
| Location | 50505 Schoenherr Rd, Shelby 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 |
|---|---|---|---|
| 1073593174 | NPI | - | NPPES |
| 0827486 | Other | MI | BCBS |
| 474607010 | Medicaid | MI | |
| 1073593174 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301080819 (Michigan) | Secondary |
| 208M00000X | Hospitalist | 4301080819 (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 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul K Fozo, MD 1746 Momentum Pl, Chicago, IL 60689-5317 Ph: (586) 731-8400 | Paul K Fozo, MD 50505 Schoenherr Rd, Suite 340, Shelby Township, MI 48315-3140 Ph: (586) 731-8400 |
Dr. Malaz Alatassi, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315 Phone: 586-731-8400 Fax: 586-731-8406 | |
Liz Wilson, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd, Suite 340, Shelby Township, MI 48315 Phone: 586-731-8400 Fax: 586-731-8406 | |
Anthony Shen, D.O. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315 Phone: 586-731-8400 Fax: 586-731-8406 | |
Dr. Dheeraj Thammineni, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd, Suite 340, Shelby Township, MI 48315 Phone: 586-731-8400 Fax: 586-731-8406 | |
Amaan Dawood, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315 Phone: 586-731-8400 Fax: 586-731-8406 | |
Dr. Brian Tyson, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315 Phone: 586-731-8400 Fax: 586-731-8406 |