Julie Ebbing-lines, CNP | |
1 William Carls Dr, Commerce Township, MI 48382-2201 | |
(248) 937-3300 | |
Not Available |
Full Name | Julie Ebbing-lines |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1 William Carls Dr, Commerce Township, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508985409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704136062 (Michigan) | Primary |
Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
---|---|
Julie Ebbing-lines, CNP 44038 Woodward Ave Ste 200, Bloomfield Hills, MI 48302-5037 Ph: (248) 335-1064 | Julie Ebbing-lines, CNP 1 William Carls Dr, Commerce Township, MI 48382-2201 Ph: (248) 937-3300 |
Deborah Sue Vendittelli, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 William Carls Dr, Commerce Township, MI 48382 Phone: 249-937-3300 | |
Kelsey A Austin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9640 Commerce Rd Ste 104, Commerce Township, MI 48382 Phone: 248-363-1500 | |
Ms. Laura Michelle Derrick, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2900 Union Lake Rd, Commerce Township, MI 48382 Phone: 248-242-6049 | |
Khalil Mustapha Hamadi, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39450 W 14 Mile Rd, Commerce Township, MI 48390 Phone: 248-864-0010 | |
Kristina Fulmer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1990 Union Lake Rd Ste 300, Commerce Township, MI 48382 Phone: 248-363-7109 | |
Linda Miller, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 William Carls Dr, Commerce Township, MI 48382 Phone: 248-937-3300 | |
Clarita Macatula, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1990 Union Lake Rd Ste 100, Commerce Township, MI 48382 Phone: 248-363-7109 |