Mr Joseph D Secreto, AGNP | |
47601 Grand River Ave, Novi, MI 48374-1233 | |
(248) 465-3372 | |
(248) 465-4765 |
Full Name | Mr Joseph D Secreto |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Gerontology |
Location | 47601 Grand River Ave, 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 |
---|---|---|---|
1124894050 | NPI | - | NPPES |
1124894050 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 2024000132 (Missouri) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 47044413636 (Michigan) | Primary |
Entity Name | Washington University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992746903 PECOS PAC ID: 9830008770 Enrollment ID: O20031119000372 |
Mailing Address | Practice Location Address |
---|---|
Mr Joseph D Secreto, AGNP Po Box 14129, Belfast, ME 04915-4032 Ph: () - | Mr Joseph D Secreto, AGNP 47601 Grand River Ave, Novi, MI 48374-1233 Ph: (248) 465-3372 |
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 |