| Reda A Khalifa, MD | |
|
3675 Highland Rd, Suite 112, Waterford, MI 48328-2326 | |
| (248) 683-8050 | |
| (248) 683-8590 |
| Full Name | Reda A Khalifa |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 38 Years |
| Location | 3675 Highland Rd, Waterford, 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 |
|---|---|---|---|
| 1396787586 | NPI | - | NPPES |
| 0F32730 | Other | MI | BCBS |
| 4757476 | Medicaid | MI | |
| RK072714 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | RK072714 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Luis Valley Health | Alamosa, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lutheran Hospital Association Of The San Luis Valley | 4789589094 | 107 |
| Entity Name | Lutheran Hospital Association Of The San Luis Valley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235181744 PECOS PAC ID: 4789589094 Enrollment ID: O20031201000318 |
| Mailing Address | Practice Location Address |
|---|---|
| Reda A Khalifa, MD 1268 Lake Crescent Dr, Bloomfield Hills, MI 48302-2814 Ph: (248) 683-8050 | Reda A Khalifa, MD 3675 Highland Rd, Suite 112, Waterford, MI 48328-2326 Ph: (248) 683-8050 |
Dr. Richard Ira Ellenbogen, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4000 Highland Road, #120, Waterford, MI 48328 Phone: 248-682-2109 Fax: 248-682-4769 | |
Harvey Lee Raimi, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 950 N Cass Lake Rd Ste 112, Waterford, MI 48328 Phone: 248-683-8050 Fax: 561-994-1296 | |
Dr. Leonard Gordon Dorey, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 25 Pleasant Lake Dr, Waterford, MI 48327 Phone: 248-681-6416 Fax: 248-681-6416 | |
Dr. Stacy Ann Jenkins, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5220 Highland Rd, Suite 230, Waterford, MI 48327 Phone: 248-618-9400 Fax: 248-618-9490 |