Brighton Family Physicians Pc | |
401 E Grand River Ave Suite 100 Brighton MI 48116-1562 | |
(810) 225-7773 | |
(810) 225-7774 |
Full Name | Brighton Family Physicians Pc |
---|---|
Speciality | Family Medicine |
Location | 401 E Grand River Ave, Brighton, Michigan |
Authorized Official Name and Position | Mary Rupp (OWNER/PHYSICIAN) |
Authorized Official Contact | 8102257773 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brighton Family Physicians Pc 401 E Grand River Ave Suite 100 Brighton MI 48116-1562 Ph: (810) 225-7773 | Brighton Family Physicians Pc 401 E Grand River Ave Suite 100 Brighton MI 48116-1562 Ph: (810) 225-7773 |
NPI Number | 1649278748 |
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Provider Enumeration Date | 07/12/2005 |
Last Update Date | 03/03/2011 |
Medicare PECOS PAC ID | 2062467350 |
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Medicare Enrollment ID | O20050321000127 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649278748 | NPI | - | NPPES |
610855700 | Other | MI | DEPT OF LABOR |
P00068445 | Other | MI | RAILROAD MEDICARE |
0D71085 | Other | MI | BCN |
080D710850 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301063298 (Michigan) | Primary |
Provider Name | Mary Elizabeth Rupp |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528066156 PECOS PAC ID: 5395656771 Enrollment ID: I20040217000370 |
Provider Name | Maria Belen R San Juan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437128253 PECOS PAC ID: 9537204755 Enrollment ID: I20100226000458 |
Provider Name | Jami Lynn Matthews |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225455785 PECOS PAC ID: 5597981944 Enrollment ID: I20171115003177 |
Provider Name | Lauren Michelle Parvin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083064125 PECOS PAC ID: 0941613285 Enrollment ID: I20210106001413 |
Provider Name | Lena Ann-stratton Ziskie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174287114 PECOS PAC ID: 4183099898 Enrollment ID: I20230412000171 |
Provider Name | Olivia Christine Kramer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619508991 PECOS PAC ID: 1052776127 Enrollment ID: I20230424002386 |
Provider Name | Shannon Elizabeth Graley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154393940 PECOS PAC ID: 1850529918 Enrollment ID: I20230830000279 |
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Livonia Family Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1014 E Grand River Ave, Brighton, MI 48116 Phone: 734-464-9540 | |
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