| Dpn-mi Pc | |
|
29877 Telegraph Rd Ste L-12 Southfield MI 48034-7657 | |
| (657) 439-4455 | |
| (248) 226-5827 |
| Full Name | Dpn-mi Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 29877 Telegraph Rd Ste L-12, Southfield, Michigan |
| Authorized Official Name and Position | Dominick Lago (OWNER) |
| Authorized Official Contact | 5303500889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dpn-mi Pc 29877 Telegraph Rd Ste Ll-12 Southfield MI 48034-1332 Ph: (248) 213-6222 | Dpn-mi Pc 29877 Telegraph Rd Ste L-12 Southfield MI 48034-7657 Ph: (657) 439-4455 |
| NPI Number | 1427623057 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 06/11/2021 |
| Medicare PECOS PAC ID | 3476941865 |
|---|---|
| Medicare Enrollment ID | O20211104001888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427623057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jeffrey L Belkin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669408613 PECOS PAC ID: 8022906197 Enrollment ID: I20040408001383 |
| Provider Name | Dominick Lago |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013950880 PECOS PAC ID: 0042108193 Enrollment ID: I20040517001142 |
| Provider Name | Sonya Sabrah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487221560 PECOS PAC ID: 4385033240 Enrollment ID: I20211115001559 |
| Provider Name | Lauri A Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578155974 PECOS PAC ID: 8224420278 Enrollment ID: I20220125000434 |
| Provider Name | Hira Arif |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821742123 PECOS PAC ID: 4981098886 Enrollment ID: I20220217002711 |
| Provider Name | Ekta Purohit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669145959 PECOS PAC ID: 6800282773 Enrollment ID: I20220331001993 |
| Provider Name | Debra Nelms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245973890 PECOS PAC ID: 6406243807 Enrollment ID: I20220504001480 |
| Provider Name | Danielle Kimberly Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528791365 PECOS PAC ID: 7416330204 Enrollment ID: I20220811000449 |
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 |