| Baco Care Services Llc | |
|
26901 Beaumont Blvd Southfield MI 48033-3849 | |
| (947) 522-0031 | |
| Not Available |
| Full Name | Baco Care Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 26901 Beaumont Blvd, Southfield, Michigan |
| Authorized Official Name and Position | Walter Lorang (CEO) |
| Authorized Official Contact | 9475220037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baco Care Services Llc 26901 Beaumont Blvd Southfield MI 48033-3849 Ph: (947) 522-0031 | Baco Care Services Llc 26901 Beaumont Blvd Southfield MI 48033-3849 Ph: (947) 522-0031 |
| NPI Number | 1780294850 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 10/23/2022 |
| Medicare PECOS PAC ID | 6103286737 |
|---|---|
| Medicare Enrollment ID | O20230714000925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780294850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Fathelrahman O Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326018748 PECOS PAC ID: 4284627233 Enrollment ID: I20040406000263 |
| Provider Name | Halima S Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194796383 PECOS PAC ID: 7719970771 Enrollment ID: I20040406000293 |
| Provider Name | Prakash Nagardas Sanghvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730136961 PECOS PAC ID: 2769470442 Enrollment ID: I20040503000629 |
| Provider Name | Ghadi Gabriel Ghorayeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932158425 PECOS PAC ID: 0244208882 Enrollment ID: I20040921000789 |
| Provider Name | Sarju Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124090675 PECOS PAC ID: 5294761888 Enrollment ID: I20051229000359 |
| Provider Name | Kirti P Sanghvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043439219 PECOS PAC ID: 8426149279 Enrollment ID: I20070808000171 |
| Provider Name | Vijay C Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275678948 PECOS PAC ID: 3577646819 Enrollment ID: I20080211000359 |
| Provider Name | Christopher R Deangelis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629076450 PECOS PAC ID: 1254416324 Enrollment ID: I20080313000300 |
| Provider Name | Juan A Estigarribia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336111517 PECOS PAC ID: 4183701014 Enrollment ID: I20080402000790 |
| Provider Name | Douglas Gregory Hames |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457400954 PECOS PAC ID: 4880721810 Enrollment ID: I20100423000265 |
| Provider Name | Stephen A Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962464982 PECOS PAC ID: 6608909932 Enrollment ID: I20100806000086 |
| Provider Name | Clara Kamath-wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548377328 PECOS PAC ID: 4486651254 Enrollment ID: I20100812000496 |
| Provider Name | Magdy G Wanis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346353224 PECOS PAC ID: 4183816424 Enrollment ID: I20101005001243 |
| Provider Name | Fuad M Rahimee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659510881 PECOS PAC ID: 3678742590 Enrollment ID: I20110811000052 |
| Provider Name | Sarah E Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275797946 PECOS PAC ID: 5294905956 Enrollment ID: I20110907001162 |
| Provider Name | Abdulla A Hafeez |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265663751 PECOS PAC ID: 6901056597 Enrollment ID: I20121018000367 |
| Provider Name | Usman Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043507049 PECOS PAC ID: 0143450205 Enrollment ID: I20140311001650 |
| Provider Name | Sarah A Goehmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043600612 PECOS PAC ID: 2860711223 Enrollment ID: I20150506001377 |
| Provider Name | Jennifer Burgtorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205202025 PECOS PAC ID: 6800103862 Enrollment ID: I20150923002754 |
| Provider Name | Marcelli Jade Gayonoche Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033496955 PECOS PAC ID: 1052606969 Enrollment ID: I20160817000049 |
| Provider Name | Wafa A Elhassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699115535 PECOS PAC ID: 8022377878 Enrollment ID: I20180124000733 |
| Provider Name | Rabia Chaudry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306251608 PECOS PAC ID: 0042521585 Enrollment ID: I20180312000358 |
| Provider Name | Naiff Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992151401 PECOS PAC ID: 4284924101 Enrollment ID: I20200720000093 |
| Provider Name | Fredaz Fares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336690486 PECOS PAC ID: 0042625071 Enrollment ID: I20210224001775 |
| Provider Name | Jeenan Mohammad Nassar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790412401 PECOS PAC ID: 9638554603 Enrollment ID: I20220928003387 |
| Provider Name | Eman Ayed Abusalah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043915812 PECOS PAC ID: 3779958475 Enrollment ID: I20230411002488 |
| Provider Name | Abraham Abdo Zindani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730831645 PECOS PAC ID: 8527590793 Enrollment ID: I20241021000681 |
Med-share, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26222 Telegraph Rd, Suite 100, Southfield, MI 48033 Phone: 248-827-7200 Fax: 248-827-2641 | |
Maecenas Health Systems Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26677 W 12 Mile Rd, Southfield, MI 48034 Phone: 248-358-6995 | |
Ark Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-924-1429 Fax: 248-419-2431 | |
Laina Feinstein Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29829 Telegraph Rd, Suite 107, Southfield, MI 48034 Phone: 248-304-0786 Fax: 248-354-8559 | |
Magnum Managment Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17600 W 8 Mile Rd, Suite # 5, Southfield, MI 48075 Phone: 248-424-9749 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26185 Greenfield Rd, Southfield, MI 48076 Phone: 248-569-2040 Fax: 248-569-2048 | |
Forever Foy Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18161 W 13 Mile Rd Ste C2, Southfield, MI 48076 Phone: 248-731-7414 Fax: 248-234-6337 |