Edward M Peres

MD | Pediatric Hematology-Oncology | Male

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Complete Profile:

Edward M Peres basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Edward M Peres
Credential :	MD
Gender :	Male

Business Address:

Edward M Peres 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 :	2799 W Grand Blvd Detroit, MI, 48202-2608 United States
Phone Number :	800-653-6568

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 :	1366480485
NPI Entity Type :	Individual
First Enrolment Date :	02 Jun, 2006
Last Updated On :	23 Jan, 2014

Medicare Participation:

Edward M Peres participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0648250191
Medicare Enrollment ID :	I20040723000935
Primary Specialty :	Hematology/oncology
Medical School :	Other
Graduation Year :	1996
Accepts Medicare?	Yes. Edward M Peres accepts medicare insurance.

Group Practice Association:

Edward M Peres 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 Edward M Peres 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
Henry Ford Medical Group	0547178311	2017	15855 19 Mile Rd Clinton Township, MI - 480383504 Ph: 5862632300	Yes
Henry Ford Medical Group	0547178311	2017	2799 W Grand Blvd Detroit, MI - 482022608	Yes
Henry Ford Medical Group	0547178311	2017	2799 W Grand Blvd Henry Ford Health Ortho Joint Spec Detroit, MI - 482022608 Ph: 3138744806	Yes
Henry Ford Medical Group	0547178311	2017	39450 W 12 Mile Rd Novi, MI - 483773600 Ph: 2483446688	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 Edward M Peres are as mentioned. Primary taxonomy code for Edward M Peres, MD is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
207R00000X	Internal Medicine	No	4301071038	MI
208000000X	Pediatrics	No	4301071038	MI
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	4301071038	MI

Legacy Identifiers:

Other legacy medical identifiers of Edward M Peres such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
4941691	MEDICAID	MI

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 :	1 Ford Pl, 2e Detroit, MI, 48202-3450 United States
Phone Number :	313-874-4806
Fax Number :	313-874-4677

Business Location:

Patients can refer following map for directions to Edward M Peres practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.