Mariann M Channell, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301043844 Issued in MI

Practice address

21711 Greater Mack Ave
St Clair Shores, MI 48080-2418

Phone

(586) 774-0393

NPI assigned

Jun 1, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Wayne State University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard C Mertz Jr MD PCGroup PAC ID 3173562824, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86 of 100Reported as group

Quality

96.22

Improvement activities

40

Cost

58.37

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mchannell1120778@direct.hfhs.org
• Direct secure messaging: mariannchannell@metropolitaneyecenter.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richard C Mertz Jr MD PC

  • Ophthalmology Physician
  • St Clair Shores, MI
  • NPI 1467408914

  MI, Ophthalmology

  Medicare reassignment Care Compare group NPD
• St Clair Shores Mi Ophthalmology ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Saint Clair Shores, MI
  • NPI 1326215468
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1225030596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21711 GREATER MACK AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802418",
            "telephone_number": "586-774-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21711 GREATER MACK AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802418",
            "telephone_number": "586-774-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANNELL",
        "first_name": "MARIANN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301043844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180002293",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie Jeanne Cecil, LMSW
• Thomas Celusnak
• Elizaldo Cerio Jr., PT
• Dina Chaaban, LMSW
• Jahnavi Chakrala, MD
• John Channing
• Veena B Chari Hedni, MD
• Nagalingappa Bhadra Chari, M.D.
• Charles P Beckwell, DDS,PLC
• Kathleen Marie Charleston, M.A., L.L.P.C.,N.C.C

• Ophthalmology Physician in St Clair Shores, MI
• Providers in St Clair Shores, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.