| Premier Professional Group Llc | |
|
42450 W 12 Mile Rd Ste 315 Novi MI 48377-3013 | |
| (248) 513-4100 | |
| (248) 513-4105 |
| Full Name | Premier Professional Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 42450 W 12 Mile Rd, Novi, Michigan |
| Authorized Official Name and Position | Dahlia B Berkovitz (MEMBER) |
| Authorized Official Contact | 2485134100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Professional Group Llc 42450 W 12 Mile Rd Ste 315 Novi MI 48377-3013 Ph: (248) 513-4100 | Premier Professional Group Llc 42450 W 12 Mile Rd Ste 315 Novi MI 48377-3013 Ph: (248) 513-4100 |
| NPI Number | 1437547460 |
|---|---|
| Provider Enumeration Date | 12/29/2014 |
| Last Update Date | 10/20/2015 |
| Medicare PECOS PAC ID | 8426358508 |
|---|---|
| Medicare Enrollment ID | O20151120001527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437547460 | NPI | - | NPPES |
| Provider Name | Sharon L Paul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598780223 PECOS PAC ID: 6002893401 Enrollment ID: I20040702000846 |
| Provider Name | Andrea Nitzkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366623373 PECOS PAC ID: 8527237296 Enrollment ID: I20110817000065 |
| Provider Name | Laurie Epstein Kach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689880817 PECOS PAC ID: 7618127028 Enrollment ID: I20121020000017 |
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