Rebecca Gloria Chacko, MD | |
2333 Biddle Ave, Wyandotte, MI 48192-4668 | |
(800) 653-6568 | |
Not Available |
Full Name | Rebecca Gloria Chacko |
---|---|
Gender | Female |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 2333 Biddle Ave, Wyandotte, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972952323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301117405 (Michigan) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 4301117405 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Entity Name | Henry Ford Macomb Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142 |
Entity Name | Michigan Healthcare Professionals Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Gloria Chacko, MD 29992 Northwestern Hwy Ste C, Farmington Hills, MI 48334-3292 Ph: (488) 511-4302 | Rebecca Gloria Chacko, MD 2333 Biddle Ave, Wyandotte, MI 48192-4668 Ph: (800) 653-6568 |
Ravinder Gandhi, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2025 Ford Ave, Wyandotte, MI 48192 Phone: 734-281-3080 Fax: 734-281-8815 | |
Dr. Arshad Pervez, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-464-0887 Fax: 734-402-0254 | |
Mark I Pensler, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-324-3528 Fax: 734-246-7110 | |
Dr. Nicholas Vencenzo Moore, DO Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Dr. Mustapha Mohamed Mallah, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1623 Ford Ave, Wyandotte, MI 48192 Phone: 734-389-7167 Fax: 734-282-7390 | |
Mr. Arun Singal, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2387 Fort St, Wyandotte, MI 48192 Phone: 734-283-6835 Fax: 734-282-6612 | |
Dr. Robert Alan Pensler, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-246-6019 |