Bianca De Souza
Medical Specialty
Professional ID
- NPI: 1386850832
- PECOS ID: 1355465881
- Enrollment ID: I20100903000738
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2001
Hospital Service
- Hospital CCN1: 230092
- Business Name (LBN)1: Henry Ford Allegiance Health
- Hospital CCN2: 230037
- Business Name (LBN)2: Hillsdale Hospital
Medical Practices
- Organization Name: W A Foote Memorial Hospital Inc
- Group Practice ID assigned by PECOS: 0244136067
- Number of Group Practice member: 345
Location
- Address1: 1100 E Michigan Ave
- Address2: 307 Henry Ford Allegiance Hematology Oncology
- City: Jackson
- State: Michigan
- Zip Code: 49201
- Phone Number: (517)205-1594
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):