| Integrated Medical Partners Pa | |
|
21333 Haggerty Rd Suite 150 Novi MI 48375-5510 | |
| (248) 662-0250 | |
| (248) 662-9848 |
| Full Name | Integrated Medical Partners Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 21333 Haggerty Rd, Novi, Michigan |
| Authorized Official Name and Position | Thomas M Prose (PRESIDENT) |
| Authorized Official Contact | 2486620250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medical Partners Pa 21333 Haggerty Rd Suite 150 Novi MI 48375-5510 Ph: (248) 662-0250 | Integrated Medical Partners Pa 21333 Haggerty Rd Suite 150 Novi MI 48375-5510 Ph: (248) 662-0250 |
| NPI Number | 1962863092 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 08/04/2016 |
| Medicare PECOS PAC ID | 8628376381 |
|---|---|
| Medicare Enrollment ID | O20160414000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962863092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (Michigan) | Primary |
| 363L00000X | Nurse Practitioner | (Michigan) | Secondary |
| Provider Name | Christina E Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164402871 PECOS PAC ID: 6002713930 Enrollment ID: I20031217000982 |
| Provider Name | Thomas M Prose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275648123 PECOS PAC ID: 3577462704 Enrollment ID: I20050404000441 |
| Provider Name | Bhikam C Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902856545 PECOS PAC ID: 3476500265 Enrollment ID: I20050404000949 |
| Provider Name | Elizabeth R Derkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528149283 PECOS PAC ID: 7113042565 Enrollment ID: I20100909000186 |
| Provider Name | Luis F Domenech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275694242 PECOS PAC ID: 0446498224 Enrollment ID: I20140304001947 |
Silverton Medical Partners Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21333 Haggerty Rd, Suite 150, Novi, MI 48375 Phone: 248-662-0250 Fax: 248-662-9845 | |
Aftab Ahmad Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47601 Grand River Ave, C106, Novi, MI 48374 Phone: 248-790-3087 | |
P & A Of Farmington Hills, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44150 W 12 Mile Rd, Ste 100, Novi, MI 48377 Phone: 248-867-8706 | |
Brookside Internal Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24230 Karim Blvd, Suite 130, Novi, MI 48375 Phone: 248-919-1100 | |
Medfix P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47601 Grand River Ave, Suite B-230, Novi, MI 48374 Phone: 248-465-4444 | |
General Medicine Of Mo Physicians, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21333 Haggerty Rd, Suite 150, Novi, MI 48375 Phone: 248-662-0250 Fax: 248-662-9844 | |
Family Care Physicians, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 39500 W. Ten Mile Rd, Suite 100, Novi, MI 48375 Phone: 248-476-0035 Fax: 248-476-2418 |