Macomb|Oakland Adult Medicine aims to provide you with comprehensive health care, to keep you well and care for you when you are sick. We want to be a partner in your health, helping you to learn to prevent illness and maintain a healthy lifestyle. We will teach you how to manage your chronic condition so you stay well.

Our Services

  • Complete physicals
  • Immunizations
  • Health maintenance
  • Electrocardiograms
  • Lung function testing
  • Cancer screening
  • Biopsies, suturing, wart removal
  • Health education

Payments and Insurance

Our office participates with Blue Cross/Blue Shield and Medicare. In addition, each doctor participates with different insurance plans.

If we participate with your insurance, we will gladly submit all claims for you. Please be sure to bring your insurance card and forms with you to your appointments, and notify us if your insurance plan changes.

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If you are not covered, are responsible for a co-pay or deductible, or if we don't participate with your insurance plan, we appreciate your payment at the time of your visit. For your convenience, you may pay by cash, check, Visa, MasterCard or Discover.

Medications

Antibiotics generally will not be given over the phone. People with symptoms of sinus or respiratory infections should be examined, which can be done by a doctor in an urgent care center.

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Narcotic-containing medications WILL NOT be given over the phone under any circumstance. This includes, but is not limited to:

  • Vicoprofen
  • Vicodin
  • Tylenol #3 and #4
  • Darvocet
  • DarvonLortab
  • Lorcet
  • Norco
  • Ultram
  • Ultracet
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Benzodiazepines WILL NOT be given over the phone under any circumstance. This includes, but is not limited to:

  • Klonopin (clonazepam)
  • Ativan (lorazepam)
  • Valium (diazepam)
  • Xanax (alprazolam)
  • Serax (oxazepam)
  • Halcion (triazolam)
  • Ambien
  • Sonata
  • Librium (chlordiazepoxide)

Interoffice Testing

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If you need blood tests, we will draw it in our office and send it to the appropriate lab. Depending on your insurance policy, there are some tests that we are able to perform in the office. These tests include CBC, cholesterol, hemoglobin-A1C (diabetes check) and urinalysis. We are also able to do EKGs and pulmonary function studies in the office.

Coumadin and Prothrombin Time (PT, Protime, INR)

Patients who come to our office may only have their Protimes checked in one of two ways:

  • By the Anti-Coagulation Management Services (AMS) run by Beaumont Hospitals. This service costs $60 per quarter (usually out of pocket) and is run by pharmacists at Beaumont Hospital. You will have your blood drawn at the hospital lab.
  • In our office with management by our doctors. In this case, you must have the blood drawn in our office. We will not follow values drawn in outside labs, either at Beaumont or elsewhere.
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The test in our office is performed by a fingerstick blood draw and a physician will make a decision on whether the value is adequate or the dose needs to be changed instantly. You may come in to have your INR checked at any time when the office is open. You do not need an appointment.

The physician you see may or may not be your regular doctor, but all the physicians in the practice are skilled in adjusting doses of Coumadin. You will be told when to return for another check before you leave.

Our Doctors

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Photo of Dr. Bielawski

Bret Bielawski, DO
earned his medical degree from Michigan State University College of Osteopathic Medicine. He completed his internal medicine residency at William Beaumont Hospital in Royal Oak. The acronym D.O. stands for Doctor of Osteopathic Medicine. The major difference between a D.O. and an M.D. is the extra training a D.O. receives of the musculoskeletal system. Dr. Bielawski is a member of the American College of Physicians.

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Photo of Dr. Geiger

Mara Geiger, MD
earned her medical degree from Wayne State University School of Medicine. She completed an internal medicine residency at William Beaumont Hospital, Royal Oak, where she served as chief medical resident for one year. Dr. Geiger is a member of the American College of Physicians.

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Photo of Dr. Hachigian

Todd Hachigian, MD
earned his medical degree from Wayne State University School of Medicine. He completed his internal medicine residency at William Beaumont Hospital in Royal Oak, where he remained for one year to serve as chief medical resident. Dr. Hachigian is a member of the American College of Physicians.

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Photo of Dr. Kulczycki-Mittag

Anna Kulczycki-Mittag, MD
earned her medical degree from Wayne State University School of Medicine. She completed her internal medicine residency at William Beaumont Hospital in Royal Oak, where she served as chief medical resident for one year. Dr. Mittag is a member of the American College of Physicians. Dr. Mittag is fluent in English and Polish.

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Photo of Dr. Rifai

Aya Rifai, MD
earned her medical degree from the University of Aleppo in Syria. She started her internal medicine training at the University of Arkansas for Medical Sciences in Little Rock and completed training at William Beaumont Hospital in Royal Oak. Dr. Rifai is a member of the American Medical Association. Dr. Rifai is fluent in English, French, and Arabic.

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Photo of Jamie Biotti

Jamie Biotti, ANP-BC
was born in Warren, Michigan, and grew up in Michigan. She received her undergarduate degree from Oakland University in 2003. She worked in the critical care at Mount Clemens Regional Hospital for one year before transferring to the Troy Beaumont critical care unit in 2004. In 2006 she attended the University of Michigan for her Masters degree, and graduated in 2009 from the Adult Nurse Practitioner Program. She is board certified by American Nurses Credentialing Center, and is licensed to practice in the State of Michigan. Jamie is a member of the Michigan Council of Nurse Practitioners.