| Robert Granadier, | |
|
3535 W 13 Mile Rd, Ste. 555, Royal Oak, MI 48073-6710 | |
| (248) 551-2020 | |
| Not Available |
| Full Name | Robert Granadier |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 3535 W 13 Mile Rd, Royal Oak, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467412213 | NPI | - | NPPES |
| 180F361420 | Other | MI | BCBSM |
| 2766574 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 4301055616 (Michigan) | Primary |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Granadier, 3601 W 13 Mile Rd, 400-fsc/pcs, Royal Oak, MI 48073-6712 Ph: () - | Robert Granadier, 3535 W 13 Mile Rd, Ste. 555, Royal Oak, MI 48073-6710 Ph: (248) 551-2020 |
Tedi Begaj, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3555 W 13 Mile Rd Ste Ll-20, Royal Oak, MI 48073 Phone: 248-288-2280 | |
Huiyan Jin, Ophthalmology Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-3643 | |
Dr. George R Lesser, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3535 W 13 Mile Rd, Suite 645, Royal Oak, MI 48073 Phone: 248-220-5252 Fax: 248-220-5261 | |
Yesde Son, MD PHD Ophthalmology Medicare: Medicare Enrolled Practice Location: 3555 W 13 Mile Rd Ste Ll-20, Royal Oak, MI 48073 Phone: 248-288-2280 | |
Yanliang Li, MD, PHD Ophthalmology Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 555, Royal Oak, MI 48073 Phone: 248-551-3643 | |
Dr. Gregory Rognon, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Dr. Tarek Shawky Hassan, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3555 W 13 Mile Rd, Ll-20, Royal Oak, MI 48073 Phone: 248-288-2280 Fax: 248-288-5644 |