| Stacey Ann Shubeck, MD | |
|
3535 W 13 Mile Rd Ste Ll, Royal Oak, MI 48073-6770 | |
| (248) 551-3000 | |
| (248) 423-2576 |
| Full Name | Stacey Ann Shubeck |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3535 W 13 Mile Rd Ste Ll, 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 |
|---|---|---|---|
| 1568473981 | NPI | - | NPPES |
| 350F36132 | Other | MI | BCBSM |
| 4275628 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301069890 (Michigan) | Primary |
| Entity Name | William Beaumont Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083833875 PECOS PAC ID: 9335051093 Enrollment ID: O20031104000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Ann Shubeck, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Stacey Ann Shubeck, MD 3535 W 13 Mile Rd Ste Ll, Royal Oak, MI 48073-6770 Ph: (248) 551-3000 |
Melissa Joy Drewry, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Dr. Jamal Kriem, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073 Phone: 248-551-0487 Fax: 248-551-3696 | |
Elliott Weinhouse, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3535 W 13 Mile Rd Ste 108, Royal Oak, MI 48073 Phone: 248-551-2900 Fax: 248-551-0800 | |
Dr. Evelyn J Brito, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-2047 Fax: 248-551-2092 | |
Mrs. Dana Hussein, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3535 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-3000 | |
Hannah Gadway, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 W Thirteen Mile Rd, Gme Offic, Royal Oak, MI 48073 Phone: 248-551-6489 | |
Dr. Nicole R Peltz, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27332 Woodward Ave, Ste 100, Royal Oak, MI 48067 Phone: 248-543-1545 Fax: 248-543-8638 |