| Stacy Ries, DO | |
|
44201 Dequindre Rd, Troy, MI 48085-1117 | |
| (248) 964-5000 | |
| Not Available |
| Full Name | Stacy Ries |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 15 Years |
| Location | 44201 Dequindre Rd, Troy, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912293036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | 5101019272 (Michigan) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 5101019272 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Henry Ford West Bloomfield Hospital | West bloomfield, MI | Hospital |
| Henry Ford Hospital | Detroit, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaumont Medical Group Hospital Based Services | 3072875889 | 506 |
| Entity Name | Mmg 1 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912933540 PECOS PAC ID: 6103738638 Enrollment ID: O20031104000106 |
| Entity Name | Henry Ford Health System |
|---|---|
| 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 | X-ray Associates Of Port Huron P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801967583 PECOS PAC ID: 5395789531 Enrollment ID: O20050617000539 |
| Entity Name | Mawan Shuayto Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578819850 PECOS PAC ID: 3072764596 Enrollment ID: O20121109000580 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Ries, DO 26901 Beaumont Blvd, Southfield, MI 48033-3849 Ph: () - | Stacy Ries, DO 44201 Dequindre Rd, Troy, MI 48085-1117 Ph: (248) 964-5000 |
Ming Lin Hsieh, Radiology Medicare: Medicare Enrolled Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5190 | |
Marie Konczalski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Beaumont Hospital - Troy, Troy, MI 48085 Phone: 248-964-5190 Fax: 248-964-5199 | |
Brian Berger, Radiology Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5190 | |
Tarun Gupta, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5000 | |
Robert Warren Mendelson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2541 Manchester Ct, Troy, MI 48098 Phone: 248-879-8100 Fax: 248-879-8300 | |
Dr. Krisha J Howell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4550 Investment Dr Ste B111, Troy, MI 48098 Phone: 248-952-5019 | |
Stephen Zintsmaster, Radiology Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5190 Fax: 248-964-5199 |