patients with chronic conditions: inside this … · southfield, michigan 48033 phone:...
TRANSCRIPT
Stay Tuned!
The lucky winners of our June and July
Trivia Contest will be announced in
August.
Providing Services to Children in Foster Care 2
Smoking and Tobacco Use Facts
3
Where to Find Your Assigned Patient Roster and Other Reports
4
Get the Facts: Asthma vs. COPD
5
Providing Services to Children in Foster Care Continued...
6
Welcome New Providers
PATIENTS WITH CHRONIC CONDITIONS:
Billing and Documentation Tips
Half of Americans suffer from one or more chronic diseases. Keep in mind that ALL chronic diseases/conditions should be assessed and documented in the patient’s medical record at least ONCE EVERY YEAR. Definition of Chronic: Generally defined as a condition or disease lasting more than 3 MONTHS. Is of slow duration and slow progression. Chronic diseases include, but not limited to: diabetes, asthma, chronic lung
diseases, hypertension, congestive heart failure, coronary artery disease, substance abuse disorders, HIV/AIDS, depression, and other mental health conditions.
Conversely, acute diseases are defined as a condition with an abrupt or rapid onset.
Tips for Coding/Billing for Chronic Diseases: Code and bill chronic disease(s) as often as the patient receives treatment and care for that condition(s). Follow the guidelines listed below: Do not code suspected diagnoses in the outpatient setting. Code only the
symptom, complaint, condition, or problem reported. Medical records, not claim forms, should reflect the services provided for “rule out” purposes.
Diagnosis codes should be accurate and specific. Avoid generalized diagnosis codes.
For example, if the physician documents COPD and asthma in the record then chronic obstructive asthma 493.2X should be reported.
Physician documentation in the medical record needs to be specific and match the diagnosis code being billed.
Chronic conditions can be billed with preventive services as long as the physician documents the status of the chronic disease in the History of Present Illness (HPI) and also in the Assessment and Plan (A/P).
Copy and paste practice of bringing the information forward from past visits may not be used to complete the HPI or the A/P per CMS standards. The information must be specific for the date of the visit and show medical necessity for addressing the chronic disease on the visit date. Addressing the chronic disease without medical necessity will flag to CMS as “upcoding.”
Chronic disease diagnoses documented at prior encounters cannot be used to supplement the diagnosis at current encounter, which can occur with some EMR systems in which a diagnosis is assigned by the EMR system. This technical support of the EMR should be turned off and the diagnosis manually assigned.
CONGRATULATIONS
July 2014
Inside this issue:
July 2014
Page 2
Providing Services to Children in Foster Care
There are approximately 14,000 children in foster care in Michigan. At no fault to their own, these children are often removed from their homes due to abuse and/or neglect and placed in foster homes or group homes. Children in foster care are vulnerable and at high risk for chronic physical, emotional/ behavioral, and developmental conditions. These conditions can exist prior to the child entering foster care and are often intensified with adjustment to placement outside of their home. In addition, these children are often subjected to multiple placements that could interrupt services re-sulting in gaps of care and services. Often there is a fragmented approach in coordination with these children, which only emphasizes the importance to ensure that children in foster care receive the best care in medical services to address all needs. A multidisciplinary approach of health care professionals, foster parents, community welfare agencies, mental health professionals, and health insurance agencies, can assist children in foster care in receiving the necessary care.
Once a child enters foster care, they become either a temporary ward of the court or a permanent ward of the court. Each foster child is assigned a Department of Human Services Worker (DHS) who serves as the responsible party. DHS collaborates with the foster parents, private agency (if involved), and the birth parents to assist in coordinating services for foster children. Each DHS county office has a Health Liaison Officer (HLO) who is the identified point person that oversees the delivery of health services in the county and works with the Medicaid Health plan.
When providing services to children in foster care, there are certain guidelines that must be followed. It is important that these guidelines be followed to protect these foster children.
The health plan must obtain permission from the DHS worker, the responsible party, in order to speak with the foster parents and/or private agency worker.
Once permission has been obtained, the health plan can work with the foster parent in coor-dinating services for the foster child through a variety of services including case management, cus-tomer service, and quality, etc. At UnitedHealthcare Community Plan, there is a designated Foster Care Liaison that works with the HLO, DHS workers, health care professionals, community service agencies, and internal staff to assist with coordinating services and to ensure that these guidelines are being followed. The Foster Care Liaison documents that permission has been obtained for all internal staff. The Foster Care Liaison can be reached at [email protected].
Continued on page 6...
Page 3
July 2014
Page 4
October 2011 July 2014
Page 5
July 2014
GET THE FACTS: ASTHMA VS. COPD
Asthma and COPD (including chronic bronchitis & emphysema) are both life-long (chronic) inflammatory diseases involving the respiratory tract and cause airway limitation. Both conditions are usually characterized by mucus and bronchoconstriction. THESE DISEASES TYPICALLY ARE UNDERDIAGNOSED, MISDIAGNOSED AND UNDERTREATED. Both diseases share symptoms and treatments yet are completely different. Reference the chart below to determine which respiratory disease to diagnose the patient with and the best treatment to provide to the patient.
ASTHMA COPD
RESPIRATORY SITES AFFECTED
Affects airways only Affects both the airways and the lung tissue
AGE OF ONSET Usually < 30 Usually > 40
CAUSES Many: Allergies, birth, eczema, rhinitis, obesity, environmental, viral respiratory infections.
#1 Cause-Smoking, dust, air pollution, chemical fumes
(+) Family History Common Uncommon
(+) Smoking History Variable, including second-hand smoke
Essentially Always
SYMPTOMS: Intermittent/Acute Episodes. No symptoms experienced at times.
Daily symptoms & symptoms get worse over time
Cough Dry Cough and mainly at nighttime or post-exercise
Productive Cough especially in morning
Sputum/Phlegm Uncommon Common
History of Atopy Often Uncommon
Shortness of Breath Common Common
Chest Tightness Common Uncommon
Wheezing Common Uncommon
TREATMENT:
Inhaled Corticosteroid Best treatment for Mild to Severe Asthma
Best treatment for Severe COPD
Short Acting B2-Agonists Best treatment for Mild/Intermittent Asthma
Best treatment for Mild COPD
Anticholinergics Used with Severe Asthma unre-sponsive to standard treatment
Best treatment for Moderate COPD
Long Acting Bronchodila-tors
Very Good treatment in combina-tion with inhaled corticosteroid
Best treatment for Moderate COPD
TREATMENT GOAL Minimal or no use of “rescue” asth-ma medications
Symptoms controlled by “control” medications
Prevention of disease progres-sion
Relief and control of symptoms
LUNG FUNCTION with TREATMENT
Fully or Nearly Fully Reversible Not Fully reversible
TESTS FOR DIAGNOSIS & MONITORING OUTCOMES
Spirometry with bronchodilator Spirometry with bronchodilator
Page 6
July 2014
UnitedHealthcare Community Plan is proud to be a UnitedHealthcare
Community & State health plan. UnitedHealthcare Community & State,
the nation's premier provider of high quality, personalized public sector
health care programs, acquired United Healthcare Community Plan in
February 2004. UnitedHealthcare Community Plan is one of twenty-two
UnitedHealthcare Community & State health plans that serve more than
3.2 million Medicaid, Child Health Insurance Program (CHIP) and Medi-
care beneficiaries from coast to coast. UnitedHealthcare Community &
State is a business unit of UnitedHealth Group, one of the largest health
and well-being companies in the country.
26957 Northwestern Highway, Suite 400
Southfield, Michigan 48033
Phone: 1-800-903-5253
Email: [email protected]
www.uhccommunityplan.com
Providing Services to Children in Foster Care Continued...
The State of Michigan puts an emphasis on the importance of monitoring health services for foster children to assist in continuity of care. The State’s current foster care policies promote the oversight of these services and provide general health requirements for all children in foster care to ensure that:
Each child must receive the age specific well-child exam within 30 days of initially entering foster care.
Primary Care Physicians must complete ALL the pages of the designated well-child exam form. Well-child exam forms consist of a physical exam, immunization review, developmental surveillance/validated developmental screening, dental, and mental health screening.
These well-child exams should be completed in accordance with the Early Periodic Screening,
Diagnosis, and Treatment (EPSDT) Program Requirements. Depending on the age of the child, children may require more than one exam annually.
The well-child exam forms and policies can be found on the DHS website, www.michigan.gov/dhs. Updates to these policies can be found on the Michigan Department of Community Health (MDHC) website, www.michigan.gov/mdhc.
By health care professionals working together, children in foster care can receive the essential medical care to address their needs. By following the established guidelines, foster children can be protected by eliminating gaps in services and increasing continuity in care.
Welcome New UnitedHealthcare Community Plan Providers - JULY 2013For additional information please visit our on-line provider directory at www.uhccommunityplan.com
GENESEE COUNTY
NEUROLOGY
AHMAD MD, FAISAL I
5082 VILLA LINDE PKWY
FLINT, MI 48532
(810) 720-1335PH: (810) 720-1373FAX:
SBEI MD, AMOUAZ A
5082 VILLA LINDE PKWY
FLINT, MI 48532
(810) 720-1335PH: (810) 720-1373FAX:
HURON COUNTY
CARDIOVASCULAR DISEASES
MCCLURE II MD, JOHN M
3RD FLOOR
1100 S VAN DYKE
BAD AXE, MI 48413
(989) 269-7252PH: (989) 269-2565FAX:
OB/GYN
IVANOV MD, GENNADIY V
1011 S VAN DYKE
BAD AXE, MI 48413
(989) 269-6990PH: (989) 269-8054FAX:
JACKSON COUNTY
NURSE PRACTITIONER
SCHEID NP, HALLIE L
SUITE 100
400 HINCKLEY BLVD
JACKSON, MI 49203
(517) 784-0588PH: (517) 784-3866FAX:
PCP
*NOT ACCEPTING NEW MEMBERS
KALAMAZOO COUNTY
FAMILY PRACTICE
HRPKA DO, BOJAN
1000 OAKLAND DR
KALAMAZOO, MI 49008
(269) 337-6300PH: (269) 337-6222FAX:
PCP
UNTERSEHER MD, CHRIS A
SUITE M-020
601 JOHN ST
KALAMAZOO, MI 49007
(269) 341-8400PH: (269) 341-8427FAX:
PCP
*NOT ACCEPTING NEW MEMBERS
INFECTIOUS DISEASE
GARG MD, DEEPAK
1000 OAKLAND DR
KALAMAZOO, MI 49008
(269) 337-4300PH: (269) 337-6222FAX:
INTERNAL MEDICINE
NISHIZAWA DO, BRENDA N
SUITE B
5629 STADIUM DR
KALAMAZOO, MI 49009
(269) 544-3270PH: (269) 544-3288FAX:
PCP
*18 YEARS & OLDER; NOT ACCEPTING
NEW MEDICAID MEMBERS
OB/GYN
KLOSS DO, KATHRYN R
3300 W CENTRE ST
PORTAGE, MI 49024
(269) 327-2211PH: (269) 327-0273FAX:
*NOT ACCEPTING NEW MEDICAID
MEMBERS
KALAMAZOO COUNTY
OB/GYN
WALKER DO, AMANDA
SUITE N-1200
601 JOHN ST
KALAMAZOO, MI 49007
(269) 341-7979PH: (269) 341-6261FAX:
*15 YEARS & OLDER
ORTHOPAEDIC SURGERY
BOVID MD, KAREN M
1000 OAKLAND DR
KALAMAZOO, MI 49008
(269) 337-6200PH: (269) 337-6222FAX:
PEDIATRIC NEPHROLOGY
KERSHAW MD, DAVID B
SUITE M-351
601 JOHN ST
KALAMAZOO, MI 49007
(269) 341-7784PH: (269) 341-4883FAX:
*21 YEARS & YOUNGER
KENT COUNTY
CARDIOVASCULAR DISEASES
JOVINGE MD, STEFAN V
100 MICHIGAN AVE NE
GRAND RAPIDS, MI 49503
(616) 391-1969PH: FAX:
DERMATOLOGY
WAHLGREN MD, CHRISTINA M
SUITE 102
833 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 459-1361PH: (616) 459-9703FAX:
FAMILY PRACTICE
RUDY MD, GERARD A
359 S DIVISION AVE
GRAND RAPIDS, MI 49503
(616) 685-3800PH: (616) 235-0913FAX:
PCP
OPHTHALMOLOGY
AABERG JR MD, THOMAS M
SUITE 200
2757 LEONARD ST NE
GRAND RAPIDS, MI 49525-5807
(616) 954-2020PH: (616) 949-0408FAX:
SHEVCHENKO DO, LILIYA
SUITE 200
2757 LEONARD ST NE
GRAND RAPIDS, MI 49525-5807
(616) 954-2020PH: (616) 949-0408FAX:
PEDIATRIC CARDIOLOGY
RATNASAMY MD, CHRISTOPHER
10TH FLOOR MC-248
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 267-1408PH: (616) 267-9150FAX:
*18 YEARS & YOUNGER
PEDIATRICS
KORT MD, ERIC J
SUITE 300
330 BARCLAY
GRAND RAPIDS, MI 49503-2527
(616) 391-8810PH: (616) 391-8897FAX:
*18 YEARS & OLDER
KENT COUNTY
PHYSICIAN ASSISTANT
ZOLLMAN PA, RACHEL A
SUITE 301
750 E BELTLINE
GRAND RAPIDS, MI 49525
(616) 942-9343PH: (616) 942-2538FAX:
LIVINGSTON COUNTY
FAMILY PRACTICE
SHAMMAMI DO, ADAM S
SUITE 210
7575 GRAND RIVER RD
BRIGHTON, MI 48114
(810) 844-7940PH: (810) 844-7955FAX:
PCP
MACOMB COUNTY
CARDIOVASCULAR DISEASES
KIM MD, KYUNG SOO
45628 SCHOENHERR RD
SHELBY TWP, MI 48315
(586) 566-7870PH: (586) 566-7850FAX:
*18 YEARS & OLDER
INTERNAL MEDICINE
WILEY DO, ANDREW L
SUITE 300-A
11885 E 12 MILE RD
WARREN, MI 48093
(586) 582-6630PH: (586) 582-6631FAX:
PCP
*13 YEARS & OLDER
PHYSICIAN ASSISTANT
CHRISTENSEN PA, MARY B
SUITE 101
28963 LITTLE MACK
ST CLAIR SHORES, MI 48081
(586) 447-0700PH: (586) 447-0795FAX:
*18 YEARS & OLDER
MUSKEGON COUNTY
CERTIFIED NURSE MIDWIFE
HALEY CNM, MARIE
2201 S GETTY ST
MUSKEGON, MI 49444
(231) 739-9315PH: (231) 733-9711FAX:
RUHF CNM, ADRIENNE
2201 S GETTY ST
MUSKEGON, MI 49444
(231) 739-9315PH: (231) 733-9711FAX:
OB/GYN
MCCURDY DO, THOMAS E
2201 S GETTY ST
MUSKEGON, MI 49444
(231) 739-9315PH: (231) 733-9711FAX:
OAKLAND COUNTY
FAMILY PRACTICE
MILLMAN DO, NEIL S
18900 W TEN MILE RD
SOUTHFIELD, MI 48075
(248) 615-6600PH: (248) 615-6605FAX:
PCP
NAOUMI MD, MANHAL H
SUITE 1200
3950 S ROCHESTER RD
ROCHESTER HILLS, MI 48307
(248) 844-6000PH: (248) 844-6159FAX:
PCP
OAKLAND COUNTY
HAND SURGERY
ARORA MD, AVERY A
SUITE L-30
30055 NORTHWESTERN HWY
FARMINGTON HILLS, MI 48334
(248) 865-4238PH: (248) 465-4237FAX:
INTERNAL MEDICINE
FABER MD, MICHELLE A
SUITE 105
31500 TELEGRAPH RD
BINGHAM FARMS, MI 48025
(248) 540-8700PH: (248) 540-8701FAX:
PCP
*13 YEARS & OLDER
FELDMAN MD, MARC A
SUITE 120
27209 LAHSER RD
SOUTHFIELD, MI 48034
(248) 799-4300PH: (248) 354-4807FAX:
PCP
*13 YEARS AND OLDER
MOHIUDDIN MD, ASGHAR
18900 W TEN MILE RD
SOUTHFIELD, MI 48075
(248) 615-6600PH: (248) 615-6605FAX:
PCP
*13 YEARS & OLDER
MUNASINGHE MD, RAJIKA L
SUITE 120
27209 LAHSER RD
SOUTHFIELD, MI 48034
(248) 799-4300PH: (248) 354-4807FAX:
PCP
*13 YEARS AND OLDER
REVANKAR MD, VARSHA S
SUITE 110
42557 WOODWARD AVE
BLOOMFIELD HILLS, MI 48304
(248) 253-1468PH: (248) 253-1472FAX:
PCP
*13 YEARS & OLDER
NEUROLOGY
DESAI MD, CHANDRAKANT
SUITE 205
27177 LAHSER ROAD
SOUTHFIELD, MI 48034
(248) 353-9817PH: FAX:
*17 YEARS & OLDER
ORTHOPAEDIC SURGERY
KHALIL MD, JAD G
SUITE 742
3535 W 13 MILE RD
ROYAL OAK, MI 48073
(248) 551-9100PH: (248) 551-9131FAX:
KOHEN MD, ROBERT M
SUITE 742
3535 W 13 MILE RD
ROYAL OAK, MI 48073
(248) 551-9100PH: (248) 551-9131FAX:
SALAMA MD, JOSEPH
SUITE L-30
30055 NORTHWESTERN HWY
FARMINGTON HILLS, MI 48334
(248) 865-4238PH: (248) 465-4237FAX:
WIATER MD, BRETT P
SUITE 742
3535 W 13 MILE RD
ROYAL OAK, MI 48073
(248) 551-9100PH: (248) 551-9131FAX:
Welcome New UnitedHealthcare Community Plan Providers - JULY 2013For additional information please visit our on-line provider directory at www.uhccommunityplan.com
OAKLAND COUNTY
PEDIATRIC CARDIOLOGY
PIRONKOVA MD, ROSSITZA
SUITE 105
43380 WOODWARD AVE
BLOOMFIELD HILLS, MI 48302
(248) 335-8500PH: (248) 335-5430FAX:
*21 YEARS & YOUNGER
PEDIATRICS
BAKER MD, JAMES B
SUITE 102
41935 W 12 MILE RD
NOVI, MI 48377-3120
(248) 347-8040PH: (248) 305-6179FAX:
PCP
*18 YEARS & YOUNGER
UROLOGY
ARETAKIS MD, KARI A
31157 WOODWARD AVE
ROYAL OAK, MI 48073
(248) 336-0123PH: (248) 336-3190FAX:
VASCULAR SURGERY
REDDY MD, PRITHAM P
SUITE 555
22250 PROVIDENCE DR
SOUTHFIELD, MI 48075
(248) 424-5748PH: (248) 443-1706FAX:
SAGINAW COUNTY
GASTROENTEROLOGY
TOBI MD, MARTIN
1000 HOUGHTON AVE
SAGINAW, MI 48602
(989) 583-6800PH: (989) 583-6915FAX:
INTERNAL MEDICINE
GLADKA MD, GALINA
125 COLONY DRIVE NORTH
SAGINAW, MI 48638
(989) 790-0070PH: (989) 249-0449FAX:
PCP
*16 YEARS & OLDER
ST CLAIR COUNTY
NURSE PRACTITIONER
KLENCZAR NP, SHERRI A
1321 STONE ST
PORT HURON, MI 48060
(810) 984-1000PH: (810) 984-3138FAX:
*18 YEARS & YOUNGER
RUSSELL NP, NAILA C
3350 GRATIOT BLVD
MARYSVILLE, MI 48040-2121
(810) 364-4000PH: (810) 364-5995FAX:
PCP
ST JOSEPH COUNTY
GENERAL SURGERY
MACDONALD MD, JAMES A
715 S HEALTH PARKWAY
THREE RIVERS, MI 49093
(269) 273-8471PH: (269) 273-9680FAX:
NURSE PRACTITIONER
KLINGLER NP, JADE L
SUITE 2
1717 E CHICAGO RD
STURGIS, MI 49091
(269) 651-4744PH: (269) 659-4998FAX:
PCP
ST JOSEPH COUNTY
NURSE PRACTITIONER
POPEJOY NP, TRINA R
67105 US 131 S
CONSTANTINE, MI 49042-9781
(269) 659-6516PH: (269) 659-6746FAX:
PCP
PHYSICIAN ASSISTANT
GOSE PA, ASHLEY M
SUITE L-7
711 S HEALTH PKWY
THREE RIVERS, MI 49093
(269) 273-9789PH: (269) 273-9612FAX:
SLEEP MEDICINE
VAKHARIA MD, BHARAT M
916 MYRTLE AVE
STURGIS, MI 49091
(269) 659-6587PH: (269) 659-6734FAX:
TUSCOLA COUNTY
FAMILY PRACTICE
CANFIELD DO, EDWARD J
220 E FRANK ST
CARO, MI 48723
(989) 673-4126PH: (989) 673-4502FAX:
PCP
VAN BUREN COUNTY
GENERAL SURGERY
CAUDILL MD, ALLAN D
SUITE 1-2
965 S BAILEY AVE
SOUTH HAVEN, MI 49090
(269) 639-2893PH: (269) 639-2894FAX:
PHYSICIAN ASSISTANT
GUINDON PA, BRIAN M
520 RAILROAD ST
BANGOR, MI 49013
(269) 427-5811PH: (269) 427-6107FAX:
PCP
WASHTENAW COUNTY
PEDIATRICS
WHEATLEY MD, ERIC A
SUITE 100
3100 E EISENHOWER PKWY
ANN ARBOR, MI 48108
(734) 971-9344PH: (734) 971-2303FAX:
PCP
*21 YEARS & YOUNGER
WAYNE COUNTY
CARDIOVASCULAR DISEASES
MOHAMAD MD, TAMAM
4700 SCHAEFER RD
DEARBORN, MI 48126
(313) 581-2600PH: (313) 581-0228FAX:
FAMILY PRACTICE
GRUCZ MD, DOUGLAS R
SUITE 111
7330 CANTON CENTER RD
CANTON, MI 48187-1310
(734) 454-8001PH: (734) 454-8124FAX:
PCP
NEMARUGOMMULA DO, VISHAL
4771 MICHIGAN AVE
DETROIT, MI 48210
(313) 897-2600PH: (313) 897-2424FAX:
PCP
WAYNE COUNTY
FAMILY PRACTICE
SITNER DO, JEROME I
4771 MICHIGAN AVE
DETROIT, MI 48210
(313) 897-2600PH: (313) 897-2424FAX:
PCP
UZANSKY DO, GERALD
4771 MICHIGAN AVE
DETROIT, MI 48210
(313) 897-2600PH: (313) 897-2424FAX:
PCP
HEMATOLOGY/ONCOLOGY
DONTHIREDDY MD, KAVITHA R
4700 SCHAEFER RD
DEARBORN, MI 48126
(313) 581-2600PH: (313) 581-0228FAX:
INTERNAL MEDICINE
BERRY DO, HADI
SUITE 208
2040 MONROE ST
DEARBORN, MI 48124-2950
(313) 228-5616PH: (313) 438-6420FAX:
PCP
*14 YEARS & OLDER
CAIN MD, ANITA L
13901 E JEFFERSON
DETROIT, MI 48215
(313) 822-0900PH: (313) 822-0950FAX:
PCP
DONAGHUE MD, JASON M
SUITE 333
19251 MACK
GROSSE PTE WOODS, MI 48236
(313) 343-7280PH: (313) 343-7921FAX:
PCP
GENSON DO, BRANDON M
995 FORD AVE
WYANDOTTE, MI 48192
(734) 284-3100PH: (734) 284-8212FAX:
PCP
*16 YEARS & OLDER
HAFEEZ MD, ABDULLA A
15101 FORD RD
DEARBORN, MI 48126
(313) 582-2769PH: (313) 846-7708FAX:
PCP
PARVATANENI MD, KESAV
SUITE 333
19251 MACK
GROSSE PTE WOODS, MI 48236
(313) 343-7280PH: (313) 343-7921FAX:
PCP
SALAH MD, ZAHRAA
SUITE 340
37595 SEVEN MILE RD
LIVONIA, MI 48152
(734) 793-2470PH: (734) 793-2471FAX:
PCP
SANGHI MD, VINOD B
4700 SCHAEFER RD
DEARBORN, MI 48126
(313) 581-2600PH: (313) 581-0228FAX:
PCP
*13 YEARS & OLDER
NURSE PRACTITIONER
PFEIFFER NP, LAURA A
5716 MICHIGAN AVE
DETROIT, MI 48210
(313) 554-1095PH: (313) 554-1096FAX:
WAYNE COUNTY
OB/GYN
ZAFRA MD, RITA M
OB/GYN DEPARTMENT
6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3246PH: (313) 966-4296FAX:
*16 YEARS & OLDER
ORTHOPAEDIC SURGERY
SABESAN MD, VANI J
SUITE 300
18100 OAKWOOD BLVD
DEARBORN, MI 48124
(313) 271-0430PH: (313) 429-7991FAX:
PLASTIC SURGERY
SAYEG MD, AYOUB S
4700 GREENFIELD
DEARBORN, MI 48126
(313) 945-6100PH: (313) 945-5260FAX: