Tamra Gladys Maynie Maben, MD | |
5325 Folkstone Dr, Troy, MI 48085-3271 | |
(248) 227-0258 | |
Not Available |
Full Name | Tamra Gladys Maynie Maben |
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Gender | Female |
Speciality | Family Medicine |
Location | 5325 Folkstone Dr, Troy, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235240169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01086192A (Indiana) | Secondary |
207Q00000X | Family Medicine | 4301068281 (Michigan) | Primary |
Entity Name | Dedicated Physicians Group Of Michigan, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992392393 PECOS PAC ID: 1153735287 Enrollment ID: O20210201000062 |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
Mailing Address | Practice Location Address |
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Tamra Gladys Maynie Maben, MD 5325 Folkstone Dr, Troy, MI 48085-3271 Ph: (248) 227-0258 | Tamra Gladys Maynie Maben, MD 5325 Folkstone Dr, Troy, MI 48085-3271 Ph: (248) 227-0258 |
Danish Mazhar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6038 Mayapple Dr, Troy, MI 48085 Phone: 313-334-4404 | |
Dr. Herminio L. Perez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 2825 Livernois, Troy, MI 48083 Phone: 248-680-6000 Fax: 248-680-6068 | |
Dr. Anjana R Patel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2115 Kingsway Dr, Troy, MI 48098 Phone: 248-641-7651 | |
Dr. John A Blanchard, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1627 W Big Beaver Rd, Troy, MI 48084 Phone: 248-220-1560 Fax: 248-220-1563 | |
Tess A Mccready, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1560 E Maple Rd, Suite 101, Troy, MI 48083 Phone: 248-581-5100 Fax: 248-581-5199 | |
Brenda M. Andritsis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 2825 Livernois, Troy, MI 48083 Phone: 248-680-6000 Fax: 248-680-6068 | |
Dr. Norah Duncan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2041 E Square Lake Rd., Suite 300, Troy, MI 48085 Phone: 248-813-0124 Fax: 248-879-0148 |