| Dr Bernard Asonganyi Mbeboh, MD | |
|
3031 W Grand Blvd Ste 600, Detroit, MI 48202-3014 | |
| (313) 871-3751 | |
| Not Available |
| Full Name | Dr Bernard Asonganyi Mbeboh |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 9 Years |
| Location | 3031 W Grand Blvd Ste 600, Detroit, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215999107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C03163 (Maryland) | Secondary |
| 207R00000X | Internal Medicine | D0099241 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carroll Hospital Center | Westminster, MD | Hospital |
| Umd Rehabilitation & Orthopaedic Institute | Baltimore, MD | Hospital |
| University Of Maryland Medical Center | Baltimore, MD | Hospital |
| Sinai Hospital Of Baltimore | Baltimore, MD | Hospital |
| University Of Md St Joseph Medical Center | Towson, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Associates P.a., P.c. | 8022914522 | 706 |
| Mdics At Umroi, Llc | 9638478019 | 22 |
| Entity Name | Emergency Medicine Associates P.A., P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20040126000955 |
| Entity Name | Mdics at Umroi, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588023667 PECOS PAC ID: 9638478019 Enrollment ID: O20160506000794 |
| Entity Name | Primecare Internal Medicine Associates, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467328864 PECOS PAC ID: 0547756876 Enrollment ID: O20260106003695 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bernard Asonganyi Mbeboh, MD 3031 W Grand Blvd, Detroit, MI 48202-3046 Ph: (313) 871-3751 | Dr Bernard Asonganyi Mbeboh, MD 3031 W Grand Blvd Ste 600, Detroit, MI 48202-3014 Ph: (313) 871-3751 |