| Healthland Housecall Services Llc | |
|
31700 Van Dyke Ave Warren MI 48093-7949 | |
| (586) 445-2911 | |
| (586) 871-2036 |
| Full Name | Healthland Housecall Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 31700 Van Dyke Ave, Warren, Michigan |
| Authorized Official Name and Position | Ali Zreik (CEO) |
| Authorized Official Contact | 5864452911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthland Housecall Services Llc 31700 Van Dyke Ave Ste H Warren MI 48093-7949 Ph: (586) 445-2911 | Healthland Housecall Services Llc 31700 Van Dyke Ave Warren MI 48093-7949 Ph: (586) 445-2911 |
| NPI Number | 1760029581 |
|---|---|
| Provider Enumeration Date | 12/01/2019 |
| Last Update Date | 04/20/2020 |
| Medicare PECOS PAC ID | 1052741451 |
|---|---|
| Medicare Enrollment ID | O20200427002175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760029581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | (* (Not Available)) | Secondary |
| Provider Name | Jody P Johnsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437198629 PECOS PAC ID: 0042291882 Enrollment ID: I20040527000023 |
| Provider Name | Donald J Hardman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013906700 PECOS PAC ID: 6800983487 Enrollment ID: I20071029000573 |
| Provider Name | Nicolette S Kowal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770685620 PECOS PAC ID: 1658433156 Enrollment ID: I20081217000350 |
| Provider Name | Gregory G Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275672420 PECOS PAC ID: 3072676303 Enrollment ID: I20090113000778 |
| Provider Name | Racheed M Atassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710969639 PECOS PAC ID: 2062482557 Enrollment ID: I20091015000277 |
| Provider Name | Tamber Leann Townsend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457890618 PECOS PAC ID: 1153699053 Enrollment ID: I20170619000845 |
| Provider Name | Brian Michael Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710454111 PECOS PAC ID: 4880939057 Enrollment ID: I20181215000306 |
| Provider Name | Souzan Siryani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629695598 PECOS PAC ID: 7315363918 Enrollment ID: I20200813000894 |
| Provider Name | Susan Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134888118 PECOS PAC ID: 7012301187 Enrollment ID: I20220307001331 |
| Provider Name | Mary Minoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164167474 PECOS PAC ID: 9537547831 Enrollment ID: I20220526002874 |
| Provider Name | Rajani Rupesh Kakade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467182964 PECOS PAC ID: 2163805698 Enrollment ID: I20220817000644 |
| Provider Name | Tanya Nicole Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962122275 PECOS PAC ID: 9638554868 Enrollment ID: I20220923001099 |
| Provider Name | Siby Binu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184357139 PECOS PAC ID: 7315313129 Enrollment ID: I20221019002478 |
Peter L Wickens D.o.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14050 E 14 Mile Rd, Warren, MI 48088 Phone: 586-293-2088 Fax: 586-293-5502 | |
Family Medicine And Sleep Specialist Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11670 Martin Rd, Warren, MI 48093 Phone: 586-754-3830 Fax: 586-754-3840 | |
Tricounty Hospitalists, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000 Fax: 248-265-4082 | |
Madison Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 E 12 Mile Rd, Suite C, Warren, MI 48092 Phone: 810-751-7733 | |
Warren Gastroenterology Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27560 Hoover Rd, Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400 | |
Md Urgent Care & Family Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12640 E 12 Mile Rd, Warren, MI 48093 Phone: 586-751-2020 Fax: 586-745-4756 | |
Eastern Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28401 Hoover Rd Ste 2, Warren, MI 48093 Phone: 586-754-3830 Fax: 586-754-3840 |