| Kendra Khan, | |
|
47340 Savannah Dr, Macomb, MI 48044-2795 | |
| (248) 302-7417 | |
| Not Available |
| Full Name | Kendra Khan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 47340 Savannah Dr, Macomb, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730714262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704288367 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Detroit Receiving Hospital | Detroit, MI | Hospital |
| Harper University Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Seasons Medical Group Of Michigan Pc | 4587819743 | 5 |
| Applebaum Physiatry Pllc | 8729453436 | 53 |
| Entity Name | Seasons Medical Group Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841551074 PECOS PAC ID: 4587819743 Enrollment ID: O20130220000062 |
| Entity Name | Applebaum Physiatry Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700598059 PECOS PAC ID: 8729453436 Enrollment ID: O20230413000778 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra Khan, 47340 Savannah Dr, Macomb, MI 48044-2795 Ph: (248) 302-7417 | Kendra Khan, 47340 Savannah Dr, Macomb, MI 48044-2795 Ph: (248) 302-7417 |
Nicole Marie Trudeau-klimek, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17900 23 Mile Rd Ste 101, Macomb, MI 48044 Phone: 586-868-9200 Fax: 586-868-9201 | |
Mrs. Danielle Holly Quinn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45441 Heydenreich Rd, Macomb, MI 48044 Phone: 862-268-6005 | |
Mrs. Praisy Jacob, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50861 Nesting Ridge Dr, Macomb, MI 48044 Phone: 586-764-9892 | |
Christina Leigh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21844 23 Mile Rd, Macomb, MI 48042 Phone: 586-598-8115 Fax: 586-789-7426 | |
Kimberly Snyder, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46867 Creekside Blvd, Macomb, MI 48044 Phone: 248-302-9116 | |
Brian Mangenje, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17866 Player Dr, Macomb, MI 48042 Phone: 248-413-5014 | |
Mrs. Krystal Ann Marshall, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19159 Gearhart Dr, Macomb, MI 48042 Phone: 586-551-5886 |