Justin P Direzze Md Sole Mbr - Medicare Primary Care in Novi, MI

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Justin P Direzze Md Sole Mbr is a medicare enrolled primary clinic (Internal Medicine) in Novi, Michigan. The current practice location for Justin P Direzze Md Sole Mbr is 41800 W 11 Mile Rd Ste 109, Novi, Michigan. For appointments, you can reach them via phone at (248) 860-4634. The mailing address for Justin P Direzze Md Sole Mbr is 41800 W 11 Mile Rd Ste 109, Novi, Michigan and phone number is (248) 860-4634.

Justin P Direzze Md Sole Mbr is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1609362375. 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 (248) 860-4634.

Contact Information

Justin P Direzze Md Sole Mbr
41800 W 11 Mile Rd Ste 109
Novi
MI 48375-1818
(248) 860-4634
(248) 282-5044

Map and Direction


Primary Care Clinic Profile

Full NameJustin P Direzze Md Sole Mbr
SpecialityInternal Medicine
Location41800 W 11 Mile Rd Ste 109, Novi, Michigan
Authorized Official Name and PositionJustin P Di Rezze (OWNER/PHYSICIAN)
Authorized Official Contact2488604634
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Justin P Direzze Md Sole Mbr
41800 W 11 Mile Rd Ste 109
Novi
MI 48375-1818

Ph: (248) 860-4634		Justin P Direzze Md Sole Mbr
41800 W 11 Mile Rd Ste 109
Novi
MI 48375-1818

Ph: (248) 860-4634

NPI Details:

NPI Number1609362375
Provider Enumeration Date07/06/2018
Last Update Date09/27/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5395098339
Medicare Enrollment IDO20181004002127

Medical Identifiers

Medical identifiers for Justin P Direzze Md Sole Mbr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609362375NPI-NPPES
0411248MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
310400000XAssisted Living Facility (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Justin P Direzze Md Sole Mbr acts as a billing entity for following providers:
Provider NameCharles F Whitaker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821054966
PECOS PAC ID: 7911895586
Enrollment ID: I20040305000633
Provider NameAn G Nguyen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629024880
PECOS PAC ID: 4385532845
Enrollment ID: I20040306000144
Provider NameRaafat Issa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750497483
PECOS PAC ID: 8628067972
Enrollment ID: I20040511000800
Provider NameKimberly P Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588626592
PECOS PAC ID: 7416936653
Enrollment ID: I20040720000424
Provider NameMelvin Cherry
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386735413
PECOS PAC ID: 6608856596
Enrollment ID: I20040721001501
Provider NameBrian J Gedeon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285667337
PECOS PAC ID: 8123090347
Enrollment ID: I20040809001035
Provider NameChristopher B Gong
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1053497149
PECOS PAC ID: 7012981087
Enrollment ID: I20040825000043
Provider NameDavid Georges Raffo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063499291
PECOS PAC ID: 7618945775
Enrollment ID: I20040917000375
Provider NamePadmaja R Mouli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821102633
PECOS PAC ID: 3971555855
Enrollment ID: I20050221000008
Provider NameColin David Irish
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700947710
PECOS PAC ID: 3274570189
Enrollment ID: I20050412001330
Provider NameHeminder P Singh
Provider TypePractitioner - Geriatric Psychiatry
Provider IdentifiersNPI Number: 1659407799
PECOS PAC ID: 9830131259
Enrollment ID: I20050526000140
Provider NameMichael Joseph Oneka
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366457129
PECOS PAC ID: 6002840402
Enrollment ID: I20050926000074
Provider NameJeremy Michael Curtis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497712129
PECOS PAC ID: 1951323435
Enrollment ID: I20051227000558
Provider NameJames Lewis Voigt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649329137
PECOS PAC ID: 1153344627
Enrollment ID: I20060111000068
Provider NameFrederick L Bean
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1023085693
PECOS PAC ID: 0042225088
Enrollment ID: I20060213000781
Provider NameJudith A Mckenna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255322467
PECOS PAC ID: 9638188055
Enrollment ID: I20060413000071
Provider NameAmy F Field
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1710996947
PECOS PAC ID: 0446255996
Enrollment ID: I20060915000576
Provider NameAmy L Komperda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720172000
PECOS PAC ID: 3971509910
Enrollment ID: I20061013000303
Provider NameKevin C Anderson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1427150796
PECOS PAC ID: 8729086822
Enrollment ID: I20061128000557
Provider NameDonald E Willman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1184641771
PECOS PAC ID: 6901899194
Enrollment ID: I20070111000415
Provider NameFlora Ann Dean
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1770632945
PECOS PAC ID: 1557465648
Enrollment ID: I20070329000342
Provider NameMelody A Angel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770662025
PECOS PAC ID: 8729184403
Enrollment ID: I20070427000051
Provider NameKeith L Papendick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700992484
PECOS PAC ID: 5799684460
Enrollment ID: I20070611000058
Provider NameDeniese L Worthy
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1982730990
PECOS PAC ID: 4082715594
Enrollment ID: I20070727000804
Provider NameRamin Rafie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558471326
PECOS PAC ID: 7416034004
Enrollment ID: I20080407000521
Provider NameJeri A Swafford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275712457
PECOS PAC ID: 9436223930
Enrollment ID: I20080731000770
Provider NameHenri Godbold
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1407012834
PECOS PAC ID: 1951478320
Enrollment ID: I20080926000381
Provider NameSarah M Somerfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134378532
PECOS PAC ID: 6406915537
Enrollment ID: I20081104000791
Provider NameAnthony B Janas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437398831
PECOS PAC ID: 6608925052
Enrollment ID: I20090514000456
Provider NameEunice Hamilton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114196748
PECOS PAC ID: 5698842888
Enrollment ID: I20090604000392
Provider NameCarl E Palffy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144228917
PECOS PAC ID: 3971654062
Enrollment ID: I20090701000249
Provider NameDean E Fior
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1780899047
PECOS PAC ID: 9234283771
Enrollment ID: I20090818000183
Provider NameAlaa A Husseinali
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497907778
PECOS PAC ID: 4880749373
Enrollment ID: I20090904000504
Provider NameDonna Jean Gilliam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114170685
PECOS PAC ID: 9739235391
Enrollment ID: I20090923000247
Provider NameDonald M Rozzell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760475313
PECOS PAC ID: 8820126212
Enrollment ID: I20100505000496
Provider NameSally S Young
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1760495550
PECOS PAC ID: 2466644026
Enrollment ID: I20101014000572
Provider NameAparna V Gadekar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548445620
PECOS PAC ID: 1658564992
Enrollment ID: I20101019001622
Provider NameNicole Brandoline Barnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205153871
PECOS PAC ID: 2961698659
Enrollment ID: I20101119000867
Provider NamePurvaj Mahendra Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730344029
PECOS PAC ID: 8820279474
Enrollment ID: I20110302000249
Provider NameMichael A Amlog
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215196225
PECOS PAC ID: 4688852809
Enrollment ID: I20110616000798
Provider NameUchebike N Nwankwo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962690073
PECOS PAC ID: 7719155498
Enrollment ID: I20110725000227
Provider NameEric Cary Brooks
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689707333
PECOS PAC ID: 9537339395
Enrollment ID: I20110902000569
Provider NameMatthew C Slendebroek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942445945
PECOS PAC ID: 6608913470
Enrollment ID: I20111020000519
Provider NameLori Bishop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699033548
PECOS PAC ID: 2668625104
Enrollment ID: I20130110000621
Provider NameChristine Weglarz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679839161
PECOS PAC ID: 3779711957
Enrollment ID: I20140115000867
Provider NameJames H Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982974143
PECOS PAC ID: 0840453601
Enrollment ID: I20140324001392
Provider NameBarbara Barnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598058893
PECOS PAC ID: 8820215411
Enrollment ID: I20140805001553
Provider NameVictoria D Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417361502
PECOS PAC ID: 4688891450
Enrollment ID: I20140821000718
Provider NameCourtney S Brinkman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568887909
PECOS PAC ID: 7719105386
Enrollment ID: I20140822000779
Provider NameKatrice Woodward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518356682
PECOS PAC ID: 3375869969
Enrollment ID: I20150225001411
Provider NameWesley Wendell Lynch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568868404
PECOS PAC ID: 4789903931
Enrollment ID: I20150511000238
Provider NameKaren Driskill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043603558
PECOS PAC ID: 9830410125
Enrollment ID: I20150611003306
Provider NameNajab Mohammed Mirza
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740620160
PECOS PAC ID: 4385963008
Enrollment ID: I20150630002804
Provider NameCherie L Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194196295
PECOS PAC ID: 1557671526
Enrollment ID: I20151103002653
Provider NameJulie Tucker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467824284
PECOS PAC ID: 7911217468
Enrollment ID: I20151112001379
Provider NameLisa M Yacoub
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588931059
PECOS PAC ID: 6406153493
Enrollment ID: I20160317001764
Provider NameElisabeth R Maodus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457712267
PECOS PAC ID: 2264730431
Enrollment ID: I20160421001018
Provider NameEun Ju Yeon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891032009
PECOS PAC ID: 0941442610
Enrollment ID: I20160603001241
Provider NameJoseph Eric Gamalski
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952741670
PECOS PAC ID: 6608161914
Enrollment ID: I20160825002202
Provider NameAngela T Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104299163
PECOS PAC ID: 7113224734
Enrollment ID: I20160912000760
Provider NameHolly M Weaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013460567
PECOS PAC ID: 2163701806
Enrollment ID: I20161121000200
Provider NameRochelle Lenetta Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184083974
PECOS PAC ID: 9638459761
Enrollment ID: I20161207002326
Provider NameAncy Andrews
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265982235
PECOS PAC ID: 8325329782
Enrollment ID: I20161227001527
Provider NameTheresa Manteil Cox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164965703
PECOS PAC ID: 7416239272
Enrollment ID: I20170131002262
Provider NameAmy L Wolfe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780031484
PECOS PAC ID: 9537443866
Enrollment ID: I20170303001149
Provider NameDequindra Blakey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417303355
PECOS PAC ID: 3173807419
Enrollment ID: I20170303001827
Provider NameJustin P Di Rezze
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558775700
PECOS PAC ID: 5395037758
Enrollment ID: I20170612000377
Provider NameJohn P Wilkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689082539
PECOS PAC ID: 1850669300
Enrollment ID: I20170626000120
Provider NameHeidi A Lambert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902347685
PECOS PAC ID: 2860762077
Enrollment ID: I20170720002552
Provider NameDrew J Packey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811302516
PECOS PAC ID: 9830469782
Enrollment ID: I20170725003582
Provider NameJennifer L Spitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972026912
PECOS PAC ID: 8921372830
Enrollment ID: I20170915001424
Provider NameKirsten Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295269843
PECOS PAC ID: 8820362932
Enrollment ID: I20170927003225
Provider NameAmanda Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518474402
PECOS PAC ID: 5597024364
Enrollment ID: I20180124001753
Provider NameDisha Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659885408
PECOS PAC ID: 4587924964
Enrollment ID: I20180202001005
Provider NameHeather A Warner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023523891
PECOS PAC ID: 6507126356
Enrollment ID: I20180216000397
Provider NameMeredith Marie Krugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639684178
PECOS PAC ID: 6901167220
Enrollment ID: I20180301002562
Provider NameQuinnkeela L Nash-el
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295249951
PECOS PAC ID: 9638432909
Enrollment ID: I20180419001058
Provider NameJennifer Chandler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902305295
PECOS PAC ID: 9739434564
Enrollment ID: I20180620000818
Provider NameKathleen M Hartwell King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225520919
PECOS PAC ID: 2365799608
Enrollment ID: I20180718002062
Provider NameLashawnda Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851827414
PECOS PAC ID: 1355691387
Enrollment ID: I20180912001181
Provider NameJosilyn Elise Goebel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184107427
PECOS PAC ID: 5890046908
Enrollment ID: I20180927002650
Provider NameTimothy Omar Gates
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487155024
PECOS PAC ID: 7911259676
Enrollment ID: I20181008000860
Provider NameJameelah Ragland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598280596
PECOS PAC ID: 0042565327
Enrollment ID: I20181010001957
Provider NameAdriene Avripas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790296010
PECOS PAC ID: 4385996677
Enrollment ID: I20181015003508
Provider NameAlison M Sesock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386123180
PECOS PAC ID: 6002169638
Enrollment ID: I20181030000826
Provider NameJoan A Matejovsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750857934
PECOS PAC ID: 6800140492
Enrollment ID: I20181119000431
Provider NameDarasowan Kiecker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457821597
PECOS PAC ID: 4082959564
Enrollment ID: I20190103000979
Provider NameRobert A Jason
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700260015
PECOS PAC ID: 7012253495
Enrollment ID: I20190104002476
Provider NameFares N Mubarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831753466
PECOS PAC ID: 4688917305
Enrollment ID: I20190521002932
Provider NameVincent Dematio
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982067096
PECOS PAC ID: 7911290010
Enrollment ID: I20190710000831
Provider NameAmy Beth M Fuciarelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255815882
PECOS PAC ID: 3870828965
Enrollment ID: I20190711001812
Provider NameAmanda Sellers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831633692
PECOS PAC ID: 3375826191
Enrollment ID: I20190717002144
Provider NameGregory S Balloid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902374267
PECOS PAC ID: 5092046235
Enrollment ID: I20191018002040
Provider NameHayley L Dunlap-zacek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629631205
PECOS PAC ID: 9931531530
Enrollment ID: I20191120002045
Provider NameMarcia Antoinette Murphy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629615109
PECOS PAC ID: 1153755228
Enrollment ID: I20191223002234
Provider NameTracie Henline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053956532
PECOS PAC ID: 7618302639
Enrollment ID: I20200122001555
Provider NameMary Ann Dennis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417423369
PECOS PAC ID: 3072947548
Enrollment ID: I20200210001892
Provider NameCindy A Graves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801432687
PECOS PAC ID: 1951737907
Enrollment ID: I20200211000840
Provider NameSusan Kay Ercia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740839000
PECOS PAC ID: 0244667400
Enrollment ID: I20200227001897
Provider NameEric A Tungol
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912384058
PECOS PAC ID: 1759601651
Enrollment ID: I20200327001413
Provider NameStephanie Abray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033741178
PECOS PAC ID: 9739518564
Enrollment ID: I20200331000352
Provider NameOranu Ibekie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134190713
PECOS PAC ID: 8921074311
Enrollment ID: I20200501000285
Provider NameDeirdre Tracey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659918258
PECOS PAC ID: 9133550353
Enrollment ID: I20200504000170
Provider NameTiffany M Huffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013535087
PECOS PAC ID: 2365866423
Enrollment ID: I20200722000577
Provider NameJean B Jourdan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588130884
PECOS PAC ID: 5496090151
Enrollment ID: I20200722003081
Provider NameValerie Dekam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649892001
PECOS PAC ID: 2961826664
Enrollment ID: I20200727003282
Provider NameJian Zhang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235756412
PECOS PAC ID: 4587088208
Enrollment ID: I20200728000511
Provider NameShawna L Kuhn
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1831135623
PECOS PAC ID: 8022907237
Enrollment ID: I20200805001782
Provider NameBrian G Gilbert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902415193
PECOS PAC ID: 1951728054
Enrollment ID: I20200903002797
Provider NameDeborah S Tyler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134514458
PECOS PAC ID: 2668784505
Enrollment ID: I20200914000308
Provider NameMichael Anthony Parks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144719246
PECOS PAC ID: 2264787068
Enrollment ID: I20200930001109
Provider NameAmy J Klinger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205142270
PECOS PAC ID: 2264558196
Enrollment ID: I20201007002395
Provider NameMelissa Outman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326519950
PECOS PAC ID: 1355761412
Enrollment ID: I20201012002638
Provider NameLuis G Maduro
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881813079
PECOS PAC ID: 0042504151
Enrollment ID: I20201022002058
Provider NameAnn M Quinlan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710598461
PECOS PAC ID: 6507286911
Enrollment ID: I20201022002991
Provider NameKatie Arno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720616477
PECOS PAC ID: 9537570932
Enrollment ID: I20201116000559
Provider NameMarissa Dawn Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487261392
PECOS PAC ID: 2860804903
Enrollment ID: I20201215001841
Provider NameKelcie Danielle Crandall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467094755
PECOS PAC ID: 0941613053
Enrollment ID: I20210111001176
Provider NameShahzeb Afsar Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881867380
PECOS PAC ID: 0042489270
Enrollment ID: I20210121001906
Provider NameIsharon B Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962914366
PECOS PAC ID: 4385902915
Enrollment ID: I20210126002262
Provider NameLynne Marie Cappellucci
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952407744
PECOS PAC ID: 0143226407
Enrollment ID: I20210201001530
Provider NameJacarma Crystal Bowman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891279956
PECOS PAC ID: 9931514577
Enrollment ID: I20210212001381
Provider NameEowyn Elise Boyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356937379
PECOS PAC ID: 0648686055
Enrollment ID: I20210310000940
Provider NameRebecca M Royce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467030114
PECOS PAC ID: 8729495999
Enrollment ID: I20210406001206
Provider NameWei Luo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528659836
PECOS PAC ID: 7618385212
Enrollment ID: I20210420002659
Provider NameDeandra Stibich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982299962
PECOS PAC ID: 4385052638
Enrollment ID: I20210426002118
Provider NameLigia Gabriela Martinescul
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154897809
PECOS PAC ID: 0143639179
Enrollment ID: I20210504001968
Provider NameJessica Anne Martinelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679154041
PECOS PAC ID: 5991114662
Enrollment ID: I20210510001241
Provider NameRamya Vadlamudi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710249727
PECOS PAC ID: 1254640931
Enrollment ID: I20210611001150
Provider NameGabriela Cristina Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760014690
PECOS PAC ID: 9133520026
Enrollment ID: I20210629003473
Provider NameJessica Ann Glahn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588230445
PECOS PAC ID: 6507268703
Enrollment ID: I20210712000235
Provider NameNagat Taher Albanna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528657756
PECOS PAC ID: 2769884980
Enrollment ID: I20210712000706
Provider NameMonika Krystyna Clay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942896253
PECOS PAC ID: 0648672733
Enrollment ID: I20210712004100
Provider NameCheryl Ann Layton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871176644
PECOS PAC ID: 9931501939
Enrollment ID: I20210714000180
Provider NameRaychelle A Melki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851963714
PECOS PAC ID: 5597168690
Enrollment ID: I20210727003271
Provider NameAndrea Curtis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699340802
PECOS PAC ID: 1759786270
Enrollment ID: I20210823000405
Provider NameDominic Ondieki Abuya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053984609
PECOS PAC ID: 7517363575
Enrollment ID: I20210831002186
Provider NameKelly J Wilcox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336814490
PECOS PAC ID: 4082010806
Enrollment ID: I20210902001422
Provider NameAzhar Berry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841804424
PECOS PAC ID: 0244636348
Enrollment ID: I20210914002704
Provider NameErica Jean Roehrig
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609547116
PECOS PAC ID: 0749688927
Enrollment ID: I20211004000893
Provider NameArchana Mandhare
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265195796
PECOS PAC ID: 6406021625
Enrollment ID: I20211026002120
Provider NameJessica Marie Terhorst
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508528290
PECOS PAC ID: 0143619502
Enrollment ID: I20211105001563
Provider NameAshley Edmonds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003583824
PECOS PAC ID: 1254721095
Enrollment ID: I20211209000989
Provider NameJoseph Ojibway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609205533
PECOS PAC ID: 1355570300
Enrollment ID: I20220114000539
Provider NameFrancesca Vitale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659963239
PECOS PAC ID: 5193117406
Enrollment ID: I20220119000529
Provider NameBriana Ranzo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750049078
PECOS PAC ID: 1658763719
Enrollment ID: I20220121001579
Provider NameChelsea Delisle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578195681
PECOS PAC ID: 5294127387
Enrollment ID: I20220124000299
Provider NameDyonne Hellen Mansur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316498645
PECOS PAC ID: 2163709601
Enrollment ID: I20220216001305
Provider NameZenobia Nah Arreytta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760146427
PECOS PAC ID: 4789078387
Enrollment ID: I20220224001944
Provider NameUgoala C Banks
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962596700
PECOS PAC ID: 8426055526
Enrollment ID: I20220310001513
Provider NameKari Anne Mcclain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982361655
PECOS PAC ID: 5799170437
Enrollment ID: I20220316002711
Provider NameMalak Ibrahim Mashaleh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841944097
PECOS PAC ID: 1658766258
Enrollment ID: I20220317001596
Provider NameSimone Wafer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619629565
PECOS PAC ID: 0042605412
Enrollment ID: I20220322000784
Provider NameAlicia Jean Lane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154982783
PECOS PAC ID: 1355728486
Enrollment ID: I20220511001644
Provider NameLashasta Lashas Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174113245
PECOS PAC ID: 9436537768
Enrollment ID: I20220527001178
Provider NameSonya Deniese Gilbert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912556291
PECOS PAC ID: 2769860527
Enrollment ID: I20220609002454
Provider NameRenee Pollard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932711652
PECOS PAC ID: 5597144527
Enrollment ID: I20220622002751
Provider NameGuiselly Erazo-romero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528551223
PECOS PAC ID: 2365794088
Enrollment ID: I20220720002496
Provider NameBetty M Mbangwana
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528640638
PECOS PAC ID: 0547642464
Enrollment ID: I20220809000575
Provider NameAli Mehieddine Nassri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912642869
PECOS PAC ID: 4688056526
Enrollment ID: I20220809001792
Provider NameChrystal Terese Eichenlaub
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184354763
PECOS PAC ID: 8921481888
Enrollment ID: I20220810002785
Provider NameStacy Kate Schubring
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508599234
PECOS PAC ID: 0840673620
Enrollment ID: I20220811000150
Provider NameRajani Rupesh Kakade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467182964
PECOS PAC ID: 2163805698
Enrollment ID: I20220817000644
Provider NameMadison Louise Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700504255
PECOS PAC ID: 9032593868
Enrollment ID: I20220829001405
Provider NameEsmahan Fayed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346977378
PECOS PAC ID: 3375927890
Enrollment ID: I20220901002432
Provider NameMittal A Suthar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164159950
PECOS PAC ID: 6901280429
Enrollment ID: I20220901002497
Provider NameJeffrey Michael Eichenlaub
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174256747
PECOS PAC ID: 3274917521
Enrollment ID: I20220906000550
Provider NameGrace-fomboh Kande
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417561416
PECOS PAC ID: 7012393606
Enrollment ID: I20221005001797
Provider NameTia L Mills
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700518578
PECOS PAC ID: 5092181537
Enrollment ID: I20221025000390
Provider NameElaiza Parado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720712755
PECOS PAC ID: 7618343153
Enrollment ID: I20221025000435
Provider NameDonnietra La'verne Walls
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710654744
PECOS PAC ID: 1456727817
Enrollment ID: I20221026002400
Provider NameMarissa Claire Niemeyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003485194
PECOS PAC ID: 6901208040
Enrollment ID: I20221029000138
Provider NameJessica Steinacker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609469790
PECOS PAC ID: 5294141768
Enrollment ID: I20221117000898
Provider NameMisty Ann Schafer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386379410
PECOS PAC ID: 2668841453
Enrollment ID: I20221219000921
Provider NameMelissa Cork
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639899099
PECOS PAC ID: 2961872676
Enrollment ID: I20221221000633
Provider NameShannon Marie Scanlon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104545292
PECOS PAC ID: 4284006008
Enrollment ID: I20230203001896
Provider NameLenea Rae Mullins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558867606
PECOS PAC ID: 1759336605
Enrollment ID: I20230204000450
Provider NameSeok Kyung Barnett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205559655
PECOS PAC ID: 1052783800
Enrollment ID: I20230204000486
Provider NameJennifer K Centers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437871290
PECOS PAC ID: 3779955547
Enrollment ID: I20230206000875
Provider NameAnne Marie Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962128512
PECOS PAC ID: 6901278423
Enrollment ID: I20230209003090
Provider NamePaul Michael Wagner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043919996
PECOS PAC ID: 7315311727
Enrollment ID: I20230327002277
Provider NameStephen Matthew White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396441283
PECOS PAC ID: 2860866134
Enrollment ID: I20230328002046
Provider NameShahla Forcon Alhuk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316673379
PECOS PAC ID: 8628443561
Enrollment ID: I20230407000505
Provider NameNina Aleksandrovna Anufriyeva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093416604
PECOS PAC ID: 3476928102
Enrollment ID: I20230412000862
Provider NameEdnah Kwamboka Makori
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013687946
PECOS PAC ID: 4587039979
Enrollment ID: I20230418000478
Provider NameMohamad Ali Saad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740913201
PECOS PAC ID: 2365807344
Enrollment ID: I20230426001117
Provider NameMelissa Hope Doyle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548975584
PECOS PAC ID: 1951766435
Enrollment ID: I20230505001724
Provider NameLatricia Richards-smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316546344
PECOS PAC ID: 4385019561
Enrollment ID: I20230511003561
Provider NameMichelle Griffith Chambers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871078055
PECOS PAC ID: 4688092406
Enrollment ID: I20230512001582
Provider NameLori Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902566920
PECOS PAC ID: 3072979913
Enrollment ID: I20230518003448
Provider NameMaha Gebril
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750093308
PECOS PAC ID: 1456717370
Enrollment ID: I20230519000732
Provider NameRebecca Elizabeth Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063101277
PECOS PAC ID: 9638535453
Enrollment ID: I20230522002166
Provider NameMegan Britton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972983690
PECOS PAC ID: 6305151267
Enrollment ID: I20230527000158
Provider NameMohammad Mashaleh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639606023
PECOS PAC ID: 9032486220
Enrollment ID: I20230606001768
Provider NameNibha Hetalbhai Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912617200
PECOS PAC ID: 0648637462
Enrollment ID: I20230608002718
Provider NameKristen Berry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174019947
PECOS PAC ID: 4688922933
Enrollment ID: I20230612002488
Provider NameDeidree Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730816331
PECOS PAC ID: 1850762063
Enrollment ID: I20230621001073
Provider NameLatricia Denise Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295426450
PECOS PAC ID: 3274991260
Enrollment ID: I20230623000805
Provider NameAlicia Jill Dunaway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881123214
PECOS PAC ID: 4486927217
Enrollment ID: I20230707002397
Provider NameTeresa Hegwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366802399
PECOS PAC ID: 7012377831
Enrollment ID: I20230712001179
Provider NameAnthony John Roman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144921222
PECOS PAC ID: 0648630483
Enrollment ID: I20230712002107
Provider NameGabriel Takuh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790355907
PECOS PAC ID: 3173983608
Enrollment ID: I20230717000582
Provider NameRohan Alexander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649611674
PECOS PAC ID: 0143522557
Enrollment ID: I20230725000548
Provider NameNatalie Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508210527
PECOS PAC ID: 9537443221
Enrollment ID: I20230727001277
Provider NameGabrielle Marie Lindbloom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134738339
PECOS PAC ID: 6507227592
Enrollment ID: I20230808000456
Provider NameLori Rutledge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144324864
PECOS PAC ID: 0648277988
Enrollment ID: I20230809001078
Provider NameGarrett Smith
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053519298
PECOS PAC ID: 0244556694
Enrollment ID: I20230809003764
Provider NameKeyeriashon Tucker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801271713
PECOS PAC ID: 9032492343
Enrollment ID: I20230810001326
Provider NameDongmei Yang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053097584
PECOS PAC ID: 2961864558
Enrollment ID: I20230814003327
Provider NameJeffrey Rayner Lapennas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265114227
PECOS PAC ID: 0244694578
Enrollment ID: I20230919003824
Provider NameNatosha Lynn Klinesmith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588377915
PECOS PAC ID: 8921452764
Enrollment ID: I20230927001470
Provider NameJessica Reviea
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003564691
PECOS PAC ID: 6103212535
Enrollment ID: I20231021000549
Provider NameAlitha V Glenn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043991771
PECOS PAC ID: 4981053717
Enrollment ID: I20231205003750
Provider NameCandice Lea Drury
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619681566
PECOS PAC ID: 9931559820
Enrollment ID: I20231218004192
Provider NameLauren Rochelle West
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942815097
PECOS PAC ID: 9537570023
Enrollment ID: I20240108000422
Provider NameAmie Elisabeth Osborne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528492998
PECOS PAC ID: 4486889946
Enrollment ID: I20240108005819
Provider NameJacquelyn Walter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902531239
PECOS PAC ID: 9739556986
Enrollment ID: I20240129002529
Provider NameSamer Akrawi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154852887
PECOS PAC ID: 5597038315
Enrollment ID: I20240213003647
Provider NameBrice Galbraith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538851852
PECOS PAC ID: 5092151548
Enrollment ID: I20240307000767
Provider NameShannon Kemper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770038481
PECOS PAC ID: 5890074389
Enrollment ID: I20240314000118
Provider NameNicole Schanta Rusinowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558086819
PECOS PAC ID: 4183061724
Enrollment ID: I20240319002145
Provider NameMolly Irizarry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790140283
PECOS PAC ID: 7911325840
Enrollment ID: I20240508001377

Reviews and Comments


Internal Medicine in Novi, MI

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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.