| Susan L Hickenbottom, MD | |
|
5333 Mcauley Dr, Suite 6109, Ypsilanti, MI 48197-1014 | |
| (734) 712-1400 | |
| (734) 712-1670 |
| Full Name | Susan L Hickenbottom |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 32 Years |
| Location | 5333 Mcauley Dr, Ypsilanti, 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 |
|---|---|---|---|
| 1770532715 | NPI | - | NPPES |
| 3473559 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 4301061696 (Michigan) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301061696 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford West Bloomfield Hospital | West bloomfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health System | 0547178311 | 2304 |
| 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 | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan L Hickenbottom, MD 24 Frank Lloyd Wright Dr, Po Box 0446 Lobby J, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766 | Susan L Hickenbottom, MD 5333 Mcauley Dr, Suite 6109, Ypsilanti, MI 48197-1014 Ph: (734) 712-1400 |
Theron Leroy Dobson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr, Ste 6109, Ypsilanti, MI 48197 Phone: 734-712-1400 Fax: 734-712-1670 | |
Dr. Emily Lauren Westbury, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr, Suite 6109, Ypsilanti, MI 48197 Phone: 734-712-1400 Fax: 734-623-2857 | |
Srijan Adhikari, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Trinity Health Iha Medical Group Neurology, 5333 Mcauley Drive, Ypsilanti, MI 48197 Phone: 734-712-1400 Fax: 734-623-2857 | |
Patricia Anne Santy, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-544-3000 Fax: 734-544-6732 | |
Montgomery Clayton Brower, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-544-3050 Fax: 734-544-6732 | |
Dionne Swor, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr., Suite 6109, Ypsilanti, MI 48197 Phone: 419-291-1111 Fax: 419-479-3253 | |
Dr. Kirtida A Patel, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3201 Bemis Road, Huron Valley Complex-men's, Ypsilanti, MI 48197 Phone: 734-572-9942 |