| Betts Medical Group Llc | |
|
21040 Greenfield Rd Ste 200 Oak Park MI 48237-3025 | |
| (248) 967-1888 | |
| (248) 967-1885 |
| Full Name | Betts Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21040 Greenfield Rd, Oak Park, Michigan |
| Authorized Official Name and Position | Laquinta L Edwards (BILLER) |
| Authorized Official Contact | 2483276636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Betts Medical Group Llc Po Box 21790 Detroit MI 48221-0790 Ph: (248) 967-1888 | Betts Medical Group Llc 21040 Greenfield Rd Ste 200 Oak Park MI 48237-3025 Ph: (248) 967-1888 |
| NPI Number | 1083908081 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 02/06/2012 |
| Medicare PECOS PAC ID | 8921275553 |
|---|---|
| Medicare Enrollment ID | O20120121000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083908081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301040115 (Michigan) | Primary |
| Provider Name | Margaret L Betts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811032113 PECOS PAC ID: 2668430653 Enrollment ID: I20120126000718 |
| Provider Name | Carolyne Bangurah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801321393 PECOS PAC ID: 6406126655 Enrollment ID: I20170720000325 |
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