| Kelly M Hefferon Do Pc | |
|
5114 Shenandoah Ct W Bloomfield MI 48323-2343 | |
| (248) 230-1780 | |
| Not Available |
| Full Name | Kelly M Hefferon Do Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5114 Shenandoah Ct, W Bloomfield, Michigan |
| Authorized Official Name and Position | Kelly M Hefferon (DIRECTOR) |
| Authorized Official Contact | 2482301780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly M Hefferon Do Pc 5114 Shenandoah Ct W Bloomfield MI 48323-2343 Ph: (248) 230-1780 | Kelly M Hefferon Do Pc 5114 Shenandoah Ct W Bloomfield MI 48323-2343 Ph: (248) 230-1780 |
| NPI Number | 1518354745 |
|---|---|
| Provider Enumeration Date | 04/27/2015 |
| Last Update Date | 10/15/2015 |
| Medicare PECOS PAC ID | 9234448754 |
|---|---|
| Medicare Enrollment ID | O20151023002224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518354745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Kelly M Hefferon |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255474813 PECOS PAC ID: 1557388139 Enrollment ID: I20051102000422 |
Extended Care Medical Assoc. Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4748 S Knoll Ct, W Bloomfield, MI 48323 Phone: 248-681-1963 Fax: 248-681-3524 | |
Alfonso Acosta Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7173 Ilanaway Dr, W Bloomfield, MI 48324 Phone: 586-929-0842 Fax: 248-366-0065 | |
Imid Consultants Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Haggerty, Ste 1190, W Bloomfield, MI 48322 Phone: 248-229-6255 Fax: 248-624-9825 | |
Healthy Living Internal Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Haggerty Rd Ste 2190, W Bloomfield, MI 48323 Phone: 248-960-1122 Fax: 248-246-0506 | |
Medical Consultant Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4507 Rolling Ridge Rd, W Bloomfield, MI 48323 Phone: 248-952-7445 | |
Henry Ford W Bloomfiled Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6777 W Maple Rd, W Bloomfield, MI 48322 Phone: 248-661-6488 Fax: 248-661-6489 |