Patricia Vassallo, CPNP | |
22151 Moross Rd, Pb 2 Suite 209, Detroit, MI 48236-2167 | |
(313) 343-3978 | |
(313) 417-2730 |
Full Name | Patricia Vassallo |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 22151 Moross Rd, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194122937 | NPI | - | NPPES |
0H208910 | Other | MI | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 4704268599 (Michigan) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | SP027691 (Pennsylvania) | Primary |
Entity Name | Seton Health Corporation Of Southeastern Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598177065 PECOS PAC ID: 2567689540 Enrollment ID: O20140814002590 |
Mailing Address | Practice Location Address |
---|---|
Patricia Vassallo, CPNP 48353 Commonview Dr, Shelby Twp, MI 48317-2772 Ph: (248) 961-4371 | Patricia Vassallo, CPNP 22151 Moross Rd, Pb 2 Suite 209, Detroit, MI 48236-2167 Ph: (313) 343-3978 |
Catherine Ann Wenz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16411 Curtis St, Detroit, MI 48235 Phone: 313-838-6822 | |
Mikayla Spica, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Amber Marroquin, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Michelle M Wojek, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 Phone: 888-731-8994 | |
Mrs. Ines Hurley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3950 Beaubien St, Detroit, MI 48201 Phone: 313-745-5437 | |
Nicole Woznicki, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3901 Chrysler Dr, Detroit, MI 48201 Phone: 313-966-7601 | |
Kathleen Mclaughlin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3980 John R, Detroit, MI 48201 Phone: 888-362-2500 |