| Stefani J Hines, MD | |
|
30503 Greenfield Rd, Southfield, MI 48076-1594 | |
| (248) 691-4744 | |
| (248) 691-4745 |
| Full Name | Stefani J Hines |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 30503 Greenfield Rd, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073573861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 4301068584 (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 |
|---|---|
| Stefani J Hines, MD 26901 Beaumont Blvd, Southfield, MI 48033-3849 Ph: () - | Stefani J Hines, MD 30503 Greenfield Rd, Southfield, MI 48076-1594 Ph: (248) 691-4744 |
Betty Yu Go, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. Gireesh Velugubanti, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21700 Northwestern Hwy Ste 150, Southfield, MI 48075 Phone: 419-777-8260 Fax: 947-282-1112 | |
Eliyahou Kam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22255 Greenfield Ste 128, Providence Pavilion, Southfield, MI 48075 Phone: 248-569-0150 Fax: 248-569-0150 | |
Dr. Susan Elizabeth Little Jones, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076 Phone: 248-352-2000 Fax: 248-352-8800 | |
Dr. Anant B Bhogaonker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22255 Greenfield Rd, Ste 320, Southfield, MI 48075 Phone: 248-559-7958 Fax: 248-559-9080 | |
Mrs. Toyia Janay Richardson, NP-BC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23077 Greenfield Rd Ste 253, Southfield, MI 48075 Phone: 248-559-5950 |