Jeffrey Lee Bargeon, D.O.
Individual provider Active NPI Emergency Medicine Physician · Warren, MI
NPI 1104002179 · NPPES record last updated Jan 21, 2008
Key facts
- NPI
- 1104002179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Practice address
- 13355 E 10 Mile Rd
Warren, MI 48089-2048 - Phone
- (586) 759-7310
- Fax
- (586) 759-3099
- NPI assigned
- Jan 21, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihp Mi Emergency Medicine PLLC
Practice addresses (Care Compare)
6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-3300
Hospital & facility affiliations
- Lake Huron Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080823000088 | MI | Practitioner - Emergency Medicine | 6406921527 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 501016194 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihp Mi Emergency Medicine PLLC | Emergency Medicine | Current |
Accepting new patients |
| Internal Medicine Solutions PLLC | Past |
Accepting new patients |
Locations
6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300
2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MI | Yes |
Addresses
Primary practice location
13355 E 10 Mile Rd
Warren, MI 48089-2048
Mailing address
13355 E 10 Mile Rd
Warren, MI 48089-2048
Phone (586) 759-7310
Other providers in Warren, MI
- Hesham Bapacker
- Barakah Home Care LLC
- Zeynep Barakat
- Niyah Marie Barbour
- Georgeta Barbu
- Kathleen Marie Barletta
- Gloria Ann Barnes
- Octivia Barnes
- Rodrick Barnes
- Anthony P. Baron
All providers in Warren, MI · Emergency Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.