<unavail> in Grand Blanc, MI - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Grand Blanc, Michigan. The current practice location for is 8275 Holly Rd, Suite 1, Grand Blanc, Michigan. For appointments, you can reach them via phone at (810) 603-0990. The mailing address for is 8275 Holly Rd, Suite 1, Grand Blanc, Michigan and phone number is (810) 603-0990.

is licensed to practice in Michigan (license number ED007048). The clinic also participates in the medicare program and its NPI number is 1902029713. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (810) 603-0990.

Contact Information


	8275 Holly Rd Suite 1 Grand Blanc MI 48439-2442
	(810) 603-0990
	(810) 603-1678

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	8275 Holly Rd, Grand Blanc, Michigan
Authorized Official Name and Position	Evtishios James Daros (PRESIDENT)
Authorized Official Contact	8106030990
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
8275 Holly Rd Suite 1 Grand Blanc MI 48439-2442 Ph: (810) 603-0990	8275 Holly Rd Suite 1 Grand Blanc MI 48439-2442 Ph: (810) 603-0990

NPI Details:

NPI Number	1902029713
Provider Enumeration Date	04/10/2007
Last Update Date	05/21/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	6406849637
Medicare Enrollment ID	O20040405001115

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902029713	NPI	-	NPPES
1003800350	Other	MI	NPI INDIVIDUAL
4614320	Medicaid	MI
ED007048	Other	MI	STATE LICENSE NUMBER
080B511230	Other	MI	BCBSM
DM076048	Other	MI	STATE LICENSE NUMBER
$$$$$$$$$	Other	MI	SSN
AD013144	Other	MI	STATE LICENSE NUMBER
1316944333	Other	MI	NPI INDIVIDUAL
1841284437	Other	MI	NPI INDIVIDUAL
$$$$$$$$$	Other	MI	SSN
2095522	Medicaid	MI
4613396	Medicaid	MI
$$$$$$$$$	Other	MI	SSN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ED007048 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Antony J Daros
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1003800350 PECOS PAC ID: 2668549700 Enrollment ID: I20080916000193

Provider Name	Evtishios J Daros
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1316944333 PECOS PAC ID: 1658364880 Enrollment ID: I20100729000584

Reviews and Comments

Family Medicine in Grand Blanc, MI

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- Medicare Primary Care in Grand Blanc, MI