Mrs Carol A Deladurantey-troy, NP | |
44405 Woodward Ave, Pontiac, MI 48341-5023 | |
(248) 858-3000 | |
Not Available |
Full Name | Mrs Carol A Deladurantey-troy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 44405 Woodward Ave, Pontiac, 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 |
---|---|---|---|
1548796782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704291783 (Michigan) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 4704291783 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Mercy Oakland | Pontiac, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sjmh Medical Practice-smhc | 8628965175 | 35 |
Entity Name | Sjmh Medical Practice-smhc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346284684 PECOS PAC ID: 8628965175 Enrollment ID: O20040301000770 |
Mailing Address | Practice Location Address |
---|---|
Mrs Carol A Deladurantey-troy, NP 517 E. 12 Mile Rd., Royal Oak, MI 48073 Ph: (248) 571-5481 | Mrs Carol A Deladurantey-troy, NP 44405 Woodward Ave, Pontiac, MI 48341-5023 Ph: (248) 858-3000 |
Marilyn Chandross, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3700 | |
Carol D Wilkinson, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6954 Fax: 248-858-3067 | |
Mrs. Dorothy Helen Rodriguez, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5210 Fax: 248-338-5584 | |
Cristiana Gherasim, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1685 Baldwin Ave Ste 400, Pontiac, MI 48340 Phone: 248-977-3758 | |
Elsina John, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341 Phone: 248-605-3502 | |
Ms. Carly Lynn Kassa, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5645 Fax: 248-338-5547 | |
Ariola Cacaj Dixon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341 Phone: 248-234-7540 Fax: 248-581-8716 |