| Jeanette K Sladick, PA | |
|
18101 Oakwood Blvd, Trauma Services, Dearborn, MI 48124-4089 | |
| (313) 982-5440 | |
| (313) 982-5445 |
| Full Name | Jeanette K Sladick |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 18101 Oakwood Blvd, Dearborn, 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 |
|---|---|---|---|
| 1588688147 | NPI | - | NPPES |
| 416564100 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10112 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 5601005370 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Health Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaumont Medical Group Hospital Based Services | 3072875889 | 575 |
| Henry Ford Health System | 0547178311 | 2550 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811073901 PECOS PAC ID: 0547178311 Enrollment ID: O20031210001052 |
| Entity Name | Oakwood Ambulatory LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401 |
| Entity Name | St Mary Mercy Hospital Professional |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528145554 PECOS PAC ID: 2365521226 Enrollment ID: O20080502000426 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Entity Name | Iha Olma Specialty 1 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891371118 PECOS PAC ID: 6901206689 Enrollment ID: O20210617000949 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanette K Sladick, PA 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: Not Available | Jeanette K Sladick, PA 18101 Oakwood Blvd, Trauma Services, Dearborn, MI 48124-4089 Ph: (313) 982-5440 |
Mr. Charles G. Papazian, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwoo0d Blvd, Dearborn, MI 48124 Phone: 313-593-7408 |
Brian Jeffrey Vosko, M.S., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21031 Michigan Ave, Dearborn, MI 48124 Phone: 313-277-6700 Fax: 313-216-0176 |
Meredith Ann Halloran, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-551-3745 |
Mark Doerr, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23823 Ford Rd, Dearborn, MI 48128 Phone: 313-277-4146 |
Mr. Michael T Price, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 19401 Hubbard Drive, Henry Ford Hospital Fairlaine Er, Dearborn, MI 48126 Phone: 313-982-8369 |
Summer Zayed, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18100 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-438-7992 Fax: 313-438-7990 |
Aisha Balol, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5250 Auto Club Dr Ste 300, Dearborn, MI 48126 Phone: 313-724-9000 |