Brian Phillips, PMHNP | |
2500 Packard St Ste 104a, Ann Arbor, MI 48104-6827 | |
(734) 707-1052 | |
(734) 661-1887 |
Full Name | Brian Phillips |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2500 Packard St Ste 104a, Ann Arbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477955508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704288196 (Michigan) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704288196 (Michigan) | Primary |
Entity Name | Great Lakes Ttc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659610608 PECOS PAC ID: 5890931679 Enrollment ID: O20130424000201 |
Entity Name | Integrative Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275085375 PECOS PAC ID: 5092081687 Enrollment ID: O20171026001459 |
Mailing Address | Practice Location Address |
---|---|
Brian Phillips, PMHNP 117 Sweetheart Ln, Battle Creek, MI 49017-9228 Ph: (734) 474-1113 | Brian Phillips, PMHNP 2500 Packard St Ste 104a, Ann Arbor, MI 48104-6827 Ph: (734) 707-1052 |
Mrs. Paige Christine Ledlow, MS, RN, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3214 Alpine Dr, Ann Arbor, MI 48108 Phone: 614-562-0824 | |
Nina K Bibicoff, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4260 Plymouth Rd, Ann Arbor, MI 48109 Phone: 734-764-6831 Fax: 734-647-8535 | |
Wilma Anne Mackenzie, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Donald Lawson Jr., NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 East Medical Center Dr, 3rd Floor C.s. Mott Children's Hospital Recp C, Ann Arbor, MI 48109 Phone: 734-936-5780 | |
Ms. Alexis Mae Punches, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, 12th Floor C.s. Mott Childrens Hospital Rm 525, Ann Arbor, MI 48109 Phone: 734-764-5302 | |
Shannon Marie Canterbury, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Amber Nicole Mason, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Drive, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109 Phone: 888-287-1082 |