Dr Audra Zackay Herman, DDS is a
Dentist - General Practice based in St. Clair Shores, Michigan. Dr Audra Zackay Herman is licensed to practice in Michigan (license number 2901019371) and her current practice location is
25520 Little Mack Ave., St. Clair Shores, Michigan. She can be reached at her office (for appointments etc.) via phone at
(586) 771-5888.
NPI number for Dr Audra Zackay Herman is 1619094224 and her current mailing address is 25520 Little Mack Ave., St. Clair Shores, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619094224.
Healthcare Provider's Profile
Full Name | Dr Audra Zackay Herman |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 25520 Little Mack Ave., St. Clair Shores, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619094224
- Provider Enumeration Date: 03/26/2007
- Last Update Date: 06/12/2015
Medical Identifiers
Medical identifiers for Dr Audra Zackay Herman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619094224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2901019371 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Audra Zackay Herman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Audra Zackay Herman, DDS 25520 Little Mack Ave., St. Clair Shores, MI 48081 Ph: (586) 771-5888 | Dr Audra Zackay Herman, DDS 25520 Little Mack Ave., St. Clair Shores, MI 48081 Ph: (586) 771-5888 |
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