Bpp Wellcare Pllc | |
14360 C B Macdonald Way Vicksburg MI 49097-8399 | |
(248) 892-2700 | |
Not Available |
Full Name | Bpp Wellcare Pllc |
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Speciality | Family Medicine |
Location | 14360 C B Macdonald Way, Vicksburg, Michigan |
Authorized Official Name and Position | Bhumit Patel (OWNER) |
Authorized Official Contact | 2488922700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bpp Wellcare Pllc 14360 C B Macdonald Way Vicksburg MI 49097-8399 Ph: (248) 892-2700 | Bpp Wellcare Pllc 14360 C B Macdonald Way Vicksburg MI 49097-8399 Ph: (248) 892-2700 |
NPI Number | 1144009614 |
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Provider Enumeration Date | 09/25/2023 |
Last Update Date | 04/01/2024 |
Medicare PECOS PAC ID | 7911357363 |
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Medicare Enrollment ID | O20231227001255 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144009614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Bhumit P Patel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144457722 PECOS PAC ID: 1557527157 Enrollment ID: I20121219000302 |
Family Doctors Of Vicksburg, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13320 N Boulevard St, Vicksburg, MI 49097 Phone: 269-649-2012 Fax: 269-649-3752 |