| Raechele C Gathers, MD | |
|
Henry Ford Health System, 3031 West Grand Blvd., Detroit, MI 48202 | |
| (313) 916-2454 | |
| Not Available |
| Full Name | Raechele C Gathers |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 27 Years |
| Location | Henry Ford Health System, Detroit, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285693804 | NPI | - | NPPES |
| RG072327 | Other | CHAMPUS-CHAMPUS | |
| RG072327 | Other | COMMERCIAL-COMMERCIAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 4301072327 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health System | 0547178311 | 2304 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730252339 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000124 |
| Mailing Address | Practice Location Address |
|---|---|
| Raechele C Gathers, MD Henry Ford Health System, 3031 West Grand Blvd., Detroit, MI 48202 Ph: (313) 916-2454 | Raechele C Gathers, MD Henry Ford Health System, 3031 West Grand Blvd., Detroit, MI 48202 Ph: (313) 916-2454 |
Dr. Laurie Linden Kohen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2171 | |
James A Brown, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 22151 Moross, Suite 234, Detroit, MI 48236 Phone: 313-885-5110 Fax: 313-885-8755 | |
David M. Ozog, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2454 | |
Dr. Emily L. Keimig, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Suite 800, Detroit, MI 48202 Phone: 313-916-2171 | |
Dr. Alison Tisack Boucher, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2151 | |
Marsha L. Chaffins, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 3031 West Grand Blvd., Detroit, MI 48202 Phone: 313-916-2454 | |
Dr. Snehal R Desai, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Suite 800, Detroit, MI 48202 Phone: 313-916-2171 |