| Stanley Berry, | |
|
3535 W 13 Mile Rd, Ste. 329, Royal Oak, MI 48073-6710 | |
| (248) 898-5000 | |
| Not Available |
| Full Name | Stanley Berry |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
| 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 |
|---|---|---|---|
| 1740259324 | NPI | - | NPPES |
| 160F376970 | Other | MI | BCBSM |
| 4650952 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 4301052533 (Michigan) | Primary |
| Entity Name | University Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley Berry, 3601 W 13 Mile Rd, 400-fsc/pcs, Royal Oak, MI 48073-6712 Ph: () - | Stanley Berry, 3535 W 13 Mile Rd, Ste. 329, Royal Oak, MI 48073-6710 Ph: (248) 898-5000 |
Alexandra Rogers, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 140, Royal Oak, MI 48073 Phone: 248-551-3000 | |
Richa Patel, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 140, Royal Oak, MI 48073 Phone: 248-551-3000 Fax: 248-551-9426 | |
Theodoros Vlachos, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3535 W 13 Mile Rd Ste 329, Royal Oak, MI 48073 Phone: 248-551-1399 | |
Stephanie Yuen Ting Wong, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 140, Royal Oak, MI 48073 Phone: 248-551-3000 | |
Paula M Fishbaugh, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 326 N Main St, Royal Oak, MI 48067 Phone: 248-584-7600 | |
Dr. Michael A Genord, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1103 N Main St, Suite E, Royal Oak, MI 48067 Phone: 248-399-7675 | |
Melissa Marback, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-712-4120 Fax: 248-792-5243 |