Nicole Antoinetta Thomas, NP | |
18451 W 12 Mile Rd Ste 200, Lathrup Village, MI 48076-2635 | |
(248) 827-7612 | |
Not Available |
Full Name | Nicole Antoinetta Thomas |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 18451 W 12 Mile Rd Ste 200, Lathrup Village, 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 |
---|---|---|---|
1063076610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704268761 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Michigan Medical Associates, Pc | 0244128981 | 5 |
Allan Schwartz Do Pc | 7315076759 | 3 |
Entity Name | Southeast Michigan Medical Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417001660 PECOS PAC ID: 0244128981 Enrollment ID: O20040305000379 |
Entity Name | Allan Schwartz Do Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205165180 PECOS PAC ID: 7315076759 Enrollment ID: O20100524000807 |
Mailing Address | Practice Location Address |
---|---|
Nicole Antoinetta Thomas, NP 18451 W 12 Mile Rd Ste 200, Lathrup Village, MI 48076-2635 Ph: (248) 827-7612 | Nicole Antoinetta Thomas, NP 18451 W 12 Mile Rd Ste 200, Lathrup Village, MI 48076-2635 Ph: (248) 827-7612 |
Ms. Dominique Rondot, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18860 Bungalow Dr, Lathrup Village, MI 48076 Phone: 248-894-3812 | |
Jordan Taylor Alvarado, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18535 W 12 Mile Rd, Lathrup Village, MI 48076 Phone: 248-552-3734 | |
Ousman Kamara, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26237 Southfield Rd, Lathrup Village, MI 48076 Phone: 313-898-4390 |