| Dr Roger Matthew Kushner, DO | |
|
20276 Middlebelt Rd, Suite 2, Livonia, MI 48152-2054 | |
| (248) 476-4900 | |
| (248) 476-5435 |
| Full Name | Dr Roger Matthew Kushner |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Obstetrics |
| Location | 20276 Middlebelt Rd, Livonia, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962467621 | NPI | - | NPPES |
| 160H261380 | Other | MI | BCBS/BCN |
| 47523 | Other | MI | OMNI |
| E26610 | Other | MI | HEALTH ALLIANCE PLAN |
| 4033701 | Other | MI | AETNA |
| 110978 | Other | MI | CARE CHOICES |
| 4372550 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 5101006358 (Michigan) | Primary |
| Entity Name | Ascension Medical Group Promed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
| Entity Name | St Mary Mercy Hospital Professional |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528145554 PECOS PAC ID: 2365521226 Enrollment ID: O20080502000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roger Matthew Kushner, DO 20276 Middlebelt Road Suite 2, Livonia, MI 48152-2054 Ph: (248) 476-4900 | Dr Roger Matthew Kushner, DO 20276 Middlebelt Rd, Suite 2, Livonia, MI 48152-2054 Ph: (248) 476-4900 |
Dr. Sylvia R Santos-sio, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 20276 Middlebelt Rd, Livonia, MI 48152 Phone: 248-476-4900 Fax: 248-476-5435 | |
Lauren Jane Wichelmann, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19000 St Joes Pkwy Ste 210, Livonia, MI 48152 Phone: 734-655-8250 | |
Dr. Candice Kimberly Gates, M.D Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19000 St Joes Pkwy Ste 210, Livonia, MI 48152 Phone: 734-655-8250 Fax: 734-655-8255 | |
Judy A. Dudum, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 29200 Schoolcraft, Livonia, MI 48150 Phone: 734-523-1050 Fax: 734-523-2464 | |
Dr. Despina Zefiras Walsworth, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 17940 Farmington Road, Livonia, MI 48152 Phone: 248-423-2410 Fax: 248-423-2576 | |
Sandra Neal, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10533 Farmington Rd, Livonia, MI 48150 Phone: 734-422-9300 | |
Susan Neal, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 10533 Farmington Rd, Livonia, MI 48150 Phone: 734-422-9300 |