OrganizationWilliam Beaumont Hospital(Beaumont Professional Services)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address3601 W 13 Mile Rd, Royal Oak, MI 48073-6712(248) 585-8271(947) 522-1964PECOS EnrollmentBased on the most recent information from CMS, provider William Beaumont Hospital does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:21 AM.Profile DetailsProvider ID1023067840Provider TypeOrganizationFull NameWilliam Beaumont HospitalOther NameBeaumont Professional ServicesSubpartYesEnumeration Date5/9/2006Last Updated4/28/2021Contact InformationPractice LocationPractice Address3601 W 13 Mile Rd, Royal Oak, MI 48073-6712Phone(248) 585-8271Fax(248) 585-8266Mailing LocationMailing Address26901 Beaumont Blvd, Complaince, Southfield, MI 48033-4716Phone(947) 522-1964FaxUnlisted FaxAuthorized OfficialNameWillbrandt, Lesley (Director-Shared Services)Phone(947) 522-1911Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerMichiganProvider IdentifiersIDDescriptionIssuerID0F37698DescriptionOtherIssuerBCBSMMichigan