Samantha Evelyn Demarce, | |
17901 Huron River Dr, New Boston, MI 48164-3200 | |
(734) 315-7070 | |
Not Available |
Full Name | Samantha Evelyn Demarce |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 17901 Huron River Dr, New Boston, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447957816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704315851 (Michigan) | Primary |
Entity Name | Medpro Primary Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639700107 PECOS PAC ID: 7416386404 Enrollment ID: O20200326000065 |
Entity Name | Medpro Urgent Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093388159 PECOS PAC ID: 9032515333 Enrollment ID: O20210913001610 |
Mailing Address | Practice Location Address |
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Samantha Evelyn Demarce, 17901 Huron River Dr, New Boston, MI 48164-3200 Ph: () - | Samantha Evelyn Demarce, 17901 Huron River Dr, New Boston, MI 48164-3200 Ph: (734) 315-7070 |
Mrs. Moya Tara Talley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25140 Austin Dr, New Boston, MI 48164 Phone: 313-461-5780 | |
Julia Kreyger, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24605 Otter Rd, New Boston, MI 48164 Phone: 734-620-9134 | |
Adam Liparoto, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27158 John Dr, New Boston, MI 48164 Phone: 734-308-4493 |