Victoria Sklavos, NURSE PRACTITIONER | |
21844 23 Mile Rd, Macomb, MI 48042-4422 | |
(586) 598-8115 | |
Not Available |
Full Name | Victoria Sklavos |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 21844 23 Mile Rd, 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 |
---|---|---|---|
1356975916 | NPI | - | NPPES |
1627723 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 4704301101 (Michigan) | Primary |
363LF0000X | Nurse Practitioner - Family | 4704301101 (Michigan) | Secondary |
Entity Name | Observation Physicians Of Macomb Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144855941 PECOS PAC ID: 5395166482 Enrollment ID: O20200527002714 |
Mailing Address | Practice Location Address |
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Victoria Sklavos, NURSE PRACTITIONER 36433 Bagdad Dr, Sterling Heights, MI 48312-3012 Ph: (248) 410-3495 | Victoria Sklavos, NURSE PRACTITIONER 21844 23 Mile Rd, Macomb, MI 48042-4422 Ph: (586) 598-8115 |
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 |