Mrs Amanda Jevahirian, NP | |
25650 Outer Dr, Lincoln Park, MI 48146-2096 | |
(313) 383-1897 | |
(313) 383-6018 |
Full Name | Mrs Amanda Jevahirian |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 25650 Outer Dr, Lincoln Park, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063185072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704300662NSA210LV (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4704300662 (Michigan) | Primary |
Entity Name | Western Wayne Family Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972530277 PECOS PAC ID: 4082617998 Enrollment ID: O20060926000287 |
Entity Name | Molina Care Connections Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180320001095 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda Jevahirian, NP 4700 Schaefer Rd Ste 340, Dearborn, MI 48126-3743 Ph: (313) 561-5100 | Mrs Amanda Jevahirian, NP 25650 Outer Dr, Lincoln Park, MI 48146-2096 Ph: (313) 383-1897 |
Joyce Lynn Delaurentiis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 Emmons Blvd, Lincoln Park, MI 48146 Phone: 313-506-4877 | |
Teresa Ann Borowski, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 854 New York Ave, Lincoln Park, MI 48146 Phone: 313-928-3654 Fax: 313-928-3654 | |
Miranda Kizy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1770 Fort St, Lincoln Park, MI 48146 Phone: 313-466-4000 | |
Nkechi Kalu Ulinfun, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 752 Southfield Rd, Lincoln Park, MI 48146 Phone: 313-388-1400 | |
Mr. Jason John Baker, AGANCP-BC, CCRN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1674 Leblanc St, Lincoln Park, MI 48146 Phone: 313-402-9257 | |
Katherine Grinenko Metcalf, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2255 Fort St, Lincoln Park, MI 48146 Phone: 313-386-7500 Fax: 313-386-6447 |