| Susan J Vandellen, DO | |
|
940 River Centre Dr, Port Huron, MI 48060-4463 | |
| (810) 985-4900 | |
| (810) 985-3634 |
| Full Name | Susan J Vandellen |
|---|---|
| Gender | Female |
| Speciality | Rheumatology |
| Experience | 40 Years |
| Location | 940 River Centre Dr, Port Huron, 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 |
|---|---|---|---|
| 1598767394 | NPI | - | NPPES |
| 4610438 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | 5101009277 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Hospital | Detroit, MI | Hospital |
| Mclaren Port Huron | Port huron, MI | Hospital |
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension St John Hospital | 3173424082 | 305 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan J Vandellen, DO 940 River Centre Dr, Port Huron, MI 48060-4463 Ph: (810) 985-4900 | Susan J Vandellen, DO 940 River Centre Dr, Port Huron, MI 48060-4463 Ph: (810) 985-4900 |
Mr. Podduturu Sridhar Reddy, M.D., M.P.H. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2615 Electric Avenue, Port Huron, MI 48060 Phone: 810-990-8222 Fax: 810-937-5592 | |
Samir Alsawah, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1231 Pine Grove Ave, Ste 2f, Port Huron, MI 48060 Phone: 810-982-5200 Fax: 810-982-9776 | |
Subbana G Muthuswami, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2603 Electric Ave, #1, Port Huron, MI 48060 Phone: 810-987-5252 Fax: 810-987-2120 | |
Dr. Virender D Parekh, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 1222 10th Ave, Port Huron, MI 48060 Phone: 810-985-9681 Fax: 810-985-3590 | |
Ali H Haidar, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1231 Pine Grove Ave, Suite 2b, Port Huron, MI 48060 Phone: 810-987-5500 Fax: 810-987-6321 | |
Dr. Rafia Khalil, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1201 Stone St Ste 3, Port Huron, MI 48060 Phone: 810-985-5000 Fax: 810-985-3700 | |
Dr. Yehia Ibraham Elsafy, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2425 Military St, Port Huron, MI 48060 Phone: 810-985-6680 Fax: 810-985-6809 |