Fredy Masongsong, | |
13667 Eureka Rd, Southgate, MI 48195-1332 | |
(734) 530-6777 | |
(734) 468-1156 |
Full Name | Fredy Masongsong |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 13667 Eureka Rd, Southgate, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972951200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704244001 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osh-mi Physicians Group Pc | 7810282191 | 137 |
Entity Name | Osh-mi Physicians Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700236478 PECOS PAC ID: 7810282191 Enrollment ID: O20160825001362 |
Mailing Address | Practice Location Address |
---|---|
Fredy Masongsong, Po Box 746723, Atlanta, GA 30374-6723 Ph: (312) 733-9730 | Fredy Masongsong, 13667 Eureka Rd, Southgate, MI 48195-1332 Ph: (734) 530-6777 |
Scott Anthony Blackburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15150 Fort St, Southgate, MI 48195 Phone: 734-282-4800 Fax: 734-282-9302 | |
Mrs. Dana Lara Wolfe, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16525 Fort St, Southgate, MI 48195 Phone: 734-250-9529 | |
Margaret Diane Barden, APN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13667 Eureka Rd, Southgate, MI 48195 Phone: 734-530-6777 Fax: 734-468-1156 | |
Michelle Lorraine Pardee, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19275 Northline Rd, Southgate, MI 48195 Phone: 734-287-2076 Fax: 734-287-2731 | |
Marie Elizabeth Manteuffel, RN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16258 Fort St, Southgate, MI 48195 Phone: 734-250-9062 Fax: 734-250-9072 | |
Kaitlin Dughlas, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15350 Trenton Rd, Southgate, MI 48195 Phone: 734-283-4616 | |
Mrs. Deborah Jane Collier-barstad, M.S.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15255 Northline Rd, Southgate, MI 48195 Phone: 734-285-3090 Fax: 734-285-3095 |