| Nicole Marie Shields, PA-C | |
|
133 S Main St, Mount Clemens, MI 48043-2308 | |
| (586) 468-1600 | |
| (586) 465-0329 |
| Full Name | Nicole Marie Shields |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 133 S Main St, Mount Clemens, 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 |
|---|---|---|---|
| 1073999629 | NPI | - | NPPES |
| 5315080570 | Other | MI | CONTROLLED SUBSTANCE LICENSE |
| 5601007332 | Other | MI | PHYSICIAN ASSISTANT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601007332 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaumont Medical Group- Specialty Services | 7214299866 | 781 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Shields, PA-C 2689 Solution Center, Chicago, IL 60677-2464 Ph: (586) 329-1880 | Nicole Marie Shields, PA-C 133 S Main St, Mount Clemens, MI 48043-2308 Ph: (586) 468-1600 |
Kristin Hofstad, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 Fax: 586-493-8799 | |
Mr. Robbie William Roesch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 133 S Main St, Mount Clemens, MI 48043 Phone: 586-468-1600 | |
Maria Ramar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 175 N Groesbeck Hwy, Mount Clemens, MI 48043 Phone: 586-627-0024 | |
Scott B Mccormick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18 Market St, Mount Clemens, MI 48043 Phone: 586-783-2222 | |
Joseph Scherba, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 133 S Main St, Mount Clemens, MI 48043 Phone: 586-468-1600 Fax: 586-465-0329 | |
Mrs. Erynn Michelle Brown, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 231-408-7666 |