Victoria Kathleen Helen Fawaz, NP | |
159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | |
(313) 640-1000 | |
Not Available |
Full Name | Victoria Kathleen Helen Fawaz |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 159 Kercheval Ave, Grosse Pointe Farms, 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 |
---|---|---|---|
1023763828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704295277NSA200VH (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4704295277 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Henry Ford Medical Group | 0547178311 | 2124 |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341 |
Mailing Address | Practice Location Address |
---|---|
Victoria Kathleen Helen Fawaz, NP 37150 Mallory Dr, Livonia, MI 48154-1175 Ph: (313) 588-1988 | Victoria Kathleen Helen Fawaz, NP 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 Ph: (313) 640-1000 |
Monica Annette Shepler, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-2175 | |
Sherry Bloodworth, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18700 Mack Ave, Grosse Pointe Farms, MI 48236 Phone: 313-925-3486 | |
Ciara L Eatmon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18700 Mack Ave, Grosse Pointe Farms, MI 48236 Phone: 313-925-3486 Fax: 313-925-3497 | |
Kim Marie Tocco, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 131 Kercheval Ave, Suite 390, Grosse Pointe Farms, MI 48236 Phone: 313-885-6400 Fax: 313-885-6807 | |
Lauren Renee Sawyer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-1000 | |
Lyndsey Muklewicz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 131 Kercheval Ave Ste 390, Grosse Pointe Farms, MI 48236 Phone: 313-885-6400 |