| Crystallinity Care Pc | |
|
20905 Greenfield Rd Ste 207 Southfield MI 48075-5346 | |
| (248) 559-1911 | |
| Not Available |
| Full Name | Crystallinity Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20905 Greenfield Rd Ste 207, Southfield, Michigan |
| Authorized Official Name and Position | Crystal Renee Lee (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2485591911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystallinity Care Pc 20905 Greenfield Rd Ste 207 Southfield MI 48075-5346 Ph: (248) 559-1911 | Crystallinity Care Pc 20905 Greenfield Rd Ste 207 Southfield MI 48075-5346 Ph: (248) 559-1911 |
| NPI Number | 1922711696 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 06/05/2023 |
| Medicare PECOS PAC ID | 5799158655 |
|---|---|
| Medicare Enrollment ID | O20230224000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922711696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Crystal Renee Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689809345 PECOS PAC ID: 0345496857 Enrollment ID: I20160210001401 |
Med-share, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26222 Telegraph Rd, Suite 100, Southfield, MI 48033 Phone: 248-827-7200 Fax: 248-827-2641 | |
Caring Doctors At Home Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29600 Northwestern Highway, Suite 106, Southfield, MI 48034 Phone: 313-258-4855 | |
Maecenas Health Systems Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26677 W 12 Mile Rd, Southfield, MI 48034 Phone: 248-358-6995 | |
Ark Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-924-1429 Fax: 248-419-2431 | |
Laina Feinstein Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29829 Telegraph Rd, Suite 107, Southfield, MI 48034 Phone: 248-304-0786 Fax: 248-354-8559 | |
Magnum Managment Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17600 W 8 Mile Rd, Suite # 5, Southfield, MI 48075 Phone: 248-424-9749 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26185 Greenfield Rd, Southfield, MI 48076 Phone: 248-569-2040 Fax: 248-569-2048 |