| Neuro Net Care Pllc | |
|
33155 Annapolis St Wayne MI 48184-2405 | |
| (734) 467-4000 | |
| Not Available |
| Full Name | Neuro Net Care Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 33155 Annapolis St, Wayne, Michigan |
| Authorized Official Name and Position | Samantha Middleton (CREDENTIALING) |
| Authorized Official Contact | 9893218918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Net Care Pllc Po Box 3272 Saginaw MI 48605-3272 Ph: (989) 797-1400 | Neuro Net Care Pllc 33155 Annapolis St Wayne MI 48184-2405 Ph: (734) 467-4000 |
| NPI Number | 1982382420 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Medicare PECOS PAC ID | 2961853056 |
|---|---|
| Medicare Enrollment ID | O20240112003759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982382420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Omar Basha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831526573 PECOS PAC ID: 5092017392 Enrollment ID: I20200402002090 |
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