Mr Thomas Mcconnell, NP | |
2025 Ford Ave Ste 100, Wyandotte, MI 48192-2301 | |
(734) 281-3080 | |
Not Available |
Full Name | Mr Thomas Mcconnell |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Primary Care |
Location | 2025 Ford Ave Ste 100, Wyandotte, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144604943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 4704264062 (Michigan) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Mcconnell, NP 1620 Golden Ln, Ypsilanti, MI 48198-3657 Ph: (734) 482-8238 | Mr Thomas Mcconnell, NP 2025 Ford Ave Ste 100, Wyandotte, MI 48192-2301 Ph: (734) 281-3080 |
Jessica Lynn Davis, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Ford Ave, Wyandotte, MI 48192 Phone: 734-281-3080 Fax: 734-281-8815 | |
Erin Marie Jakovac, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2124 Davis St, Wyandotte, MI 48192 Phone: 734-308-3814 | |
Jamie S Howard, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Mrs. Jennifer Marie Rizk, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 Eureka Rd Ste B, Wyandotte, MI 48192 Phone: 734-600-7873 | |
Ms. Layla A Brown, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Fort St, Wyandotte, MI 48192 Phone: 866-389-2727 | |
Jodee M. Thornley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-324-3463 Fax: 734-246-7266 |