Dr Stella S Evangelista, MD | |
10475 Farmington Rd, Livonia, MI 48150-5704 | |
(734) 427-9440 | |
(734) 427-1701 |
Full Name | Dr Stella S Evangelista |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 10475 Farmington Rd, Livonia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043332257 | NPI | - | NPPES |
101397387 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301031561 (Michigan) | Primary |
Entity Name | Livonia Diagnostic Center,p.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134336159 PECOS PAC ID: 8527183938 Enrollment ID: O20100908000900 |
Mailing Address | Practice Location Address |
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Dr Stella S Evangelista, MD 10475 Farmington Rd, Livonia, MI 48150-5704 Ph: (734) 427-9440 | Dr Stella S Evangelista, MD 10475 Farmington Rd, Livonia, MI 48150-5704 Ph: (734) 427-9440 |
Dr. Elizabeth K. Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20321 Farmington Road, Livonia, MI 48152 Phone: 248-888-9000 | |
Katelyn E Bonkowski, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 37595 7 Mile Rd Ste 210, Livonia, MI 48152 Phone: 734-853-5694 | |
Mark D Stacherski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 37595 7 Mile Rd, Suite 220, Livonia, MI 48152 Phone: 734-432-7581 Fax: 734-853-5698 | |
Paul Jackson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17800 Newburgh Rd, Suite 103, Livonia, MI 48152 Phone: 734-464-9540 Fax: 734-464-0438 | |
Ganka Anguelova Spassova, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18770 Farmington Rd, Livonia, MI 48152 Phone: 734-284-6338 | |
Dr. Keith M Tobin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28701 Plymouth Rd, Livonia, MI 48150 Phone: 734-427-9900 Fax: 734-427-8963 |