| Adrian Sheremeta Md Pc | |
|
37675 Pembroke Ave Livonia MI 48152-1050 | |
| (734) 779-1000 | |
| (734) 779-1001 |
| Full Name | Adrian Sheremeta Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 37675 Pembroke Ave, Livonia, Michigan |
| Authorized Official Name and Position | Adrian Sheremeta (PROVIDER/OWNER) |
| Authorized Official Contact | 7347791000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adrian Sheremeta Md Pc 37675 Pembroke Ave Livonia MI 48152-1050 Ph: (734) 779-1000 | Adrian Sheremeta Md Pc 37675 Pembroke Ave Livonia MI 48152-1050 Ph: (734) 779-1000 |
| NPI Number | 1942375399 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 07/03/2019 |
| Medicare PECOS PAC ID | 3678526373 |
|---|---|
| Medicare Enrollment ID | O20050222000854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942375399 | NPI | - | NPPES |
| 4620532 | Medicaid | MI | |
| 110H223990 | Other | MI | BCBSM GRP PIN |
| 4245567 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | PM069773 (Michigan) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | AS041942 (Michigan) | Primary |
| Provider Name | Adrian S Sheremeta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386646396 PECOS PAC ID: 3678474996 Enrollment ID: I20050223000411 |
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