Charles Main

Pediatric Hematology-Oncology | Male

---

Complete Profile:

Charles Main basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Charles Main
Gender :	Male

Business Address:

Charles Main address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3577 W 13 Mile Rd, Ste. 101 Royal Oak, MI, 48073-6710 United States
Phone Number :	248-551-0360

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1306806013
NPI Entity Type :	Individual
First Enrolment Date :	25 Mar, 2006
Last Updated On :	23 Oct, 2020

Medicare Participation:

Charles Main participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3375644347
Medicare Enrollment ID :	I20070720000100
Primary Specialty :	Pediatric Medicine
Medical School :	Wayne State University School Of Medicine
Graduation Year :	1964
Accepts Medicare?	Yes. Charles Main accepts medicare insurance.

Group Practice Association:

Charles Main is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Charles Main is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Beaumont Medical Group- Specialty Services	7214299866	793	25250 Kelly Rd Suite 100 Roseville, MI - 480664473 Ph: 5867774668	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Main are as mentioned. Primary taxonomy code for Charles Main is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	4301029133	MI

Legacy Identifiers:

Other legacy medical identifiers of Charles Main such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
350F361320	Other	MI	BCBSM
6047247	MEDICAID	MI

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3601 W 13 Mile Rd, 400-fsc/pcs Royal Oak, MI, 48073-6712 United States

Business Location:

Patients can refer following map for directions to Charles Main practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.