Stephen Matthew White, AGPCBC-NP | |
15959 Hall Rd Ste 100, Macomb, MI 48044-5364 | |
(586) 416-5940 | |
Not Available |
Full Name | Stephen Matthew White |
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Gender | Male |
Speciality | Nurse Practitioner - Adult Health |
Location | 15959 Hall Rd Ste 100, Macomb, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396441283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704299429 (Michigan) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 4704299429 (Michigan) | Primary |
Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Entity Name | Theoria Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
Mailing Address | Practice Location Address |
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Stephen Matthew White, AGPCBC-NP 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Stephen Matthew White, AGPCBC-NP 15959 Hall Rd Ste 100, Macomb, MI 48044-5364 Ph: (586) 416-5940 |
Nicole Marie Trudeau-klimek, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17900 23 Mile Rd Ste 101, Macomb, MI 48044 Phone: 586-868-9200 Fax: 586-868-9201 | |
Mrs. Danielle Holly Quinn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45441 Heydenreich Rd, Macomb, MI 48044 Phone: 862-268-6005 | |
Mrs. Praisy Jacob, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50861 Nesting Ridge Dr, Macomb, MI 48044 Phone: 586-764-9892 | |
Christina Leigh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21844 23 Mile Rd, Macomb, MI 48042 Phone: 586-598-8115 Fax: 586-789-7426 | |
Kimberly Snyder, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46867 Creekside Blvd, Macomb, MI 48044 Phone: 248-302-9116 | |
Brian Mangenje, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17866 Player Dr, Macomb, MI 48042 Phone: 248-413-5014 | |
Mrs. Krystal Ann Marshall, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19159 Gearhart Dr, Macomb, MI 48042 Phone: 586-551-5886 |