Carol R Grimmer, NP | |
26750 Providence Pkwy, Suite 210, Novi, MI 48374-1211 | |
(248) 465-4782 | |
Not Available |
Full Name | Carol R Grimmer |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 26750 Providence Pkwy, Novi, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225430929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704148154 (Michigan) | Primary |
363LP2300X | Nurse Practitioner - Primary Care | 4704148154 (Michigan) | Secondary |
Entity Name | Henry Ford Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341 |
Entity Name | Healthfair Plus Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220707000373 |
Mailing Address | Practice Location Address |
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Carol R Grimmer, NP 26750 Providence Pkwy, Suite 210, Novi, MI 48374-1211 Ph: (248) 465-4782 | Carol R Grimmer, NP 26750 Providence Pkwy, Suite 210, Novi, MI 48374-1211 Ph: (248) 465-4782 |
Ashley H Edmonds, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41850 W 11 Mile Rd Ste 202, Novi, MI 48375 Phone: 810-429-7859 | |
Jonathan Michael Fleezanis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 Phone: 248-476-0035 | |
Dr. Lorraine Lee Burgunder-zdravkovski, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26850 Providence Pkwy Ste 300, Novi, MI 48374 Phone: 248-766-6513 | |
Lydia Mayes Washington, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41800 W 11 Mile Rd Ste 109, Novi, MI 48375 Phone: 704-637-1182 | |
Jessica Dikhow, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26090 Lannys Road, Novi, MI 48375 Phone: 248-200-9420 | |
Justine Bahoura, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42350 Grand River Ave, Novi, MI 48375 Phone: 248-697-2942 | |
Karen Driskill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41850 W 11 Mile Rd Ste 207a, Novi, MI 48375 Phone: 248-860-4634 |