| Blueberry Healthcare Pc | |
|
G4007 W Court St Ste B Flint MI 48532-3560 | |
| (810) 339-6949 | |
| Not Available |
| Full Name | Blueberry Healthcare Pc |
|---|---|
| Speciality | Family Medicine |
| Location | G4007 W Court St Ste B, Flint, Michigan |
| Authorized Official Name and Position | Jen Dupuis (CREDENTIALER) |
| Authorized Official Contact | 8103396949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blueberry Healthcare Pc G4007 W Court St Ste B Flint MI 48532-3560 Ph: (810) 339-6949 | Blueberry Healthcare Pc G4007 W Court St Ste B Flint MI 48532-3560 Ph: (810) 339-6949 |
| NPI Number | 1932980992 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 12/09/2023 |
| Medicare PECOS PAC ID | 5496192122 |
|---|---|
| Medicare Enrollment ID | O20240318001887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932980992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shafi J Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326121823 PECOS PAC ID: 0244223212 Enrollment ID: I20040406000381 |
| Provider Name | Alpesh Korant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619281300 PECOS PAC ID: 9537303896 Enrollment ID: I20130926000650 |
| Provider Name | Francesca Vitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659963239 PECOS PAC ID: 5193117406 Enrollment ID: I20220119000529 |
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