| Leonard Ellison Jr Md Pc | |
|
17330 Northland Park Ct Southfield MI 48075-4318 | |
| (248) 552-9500 | |
| (248) 552-8144 |
| Full Name | Leonard Ellison Jr Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17330 Northland Park Ct, Southfield, Michigan |
| Authorized Official Name and Position | Leonard Ellison (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2485529500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard Ellison Jr Md Pc 17330 Northland Park Ct Southfield MI 48075-4318 Ph: (248) 552-9500 | Leonard Ellison Jr Md Pc 17330 Northland Park Ct Southfield MI 48075-4318 Ph: (248) 552-9500 |
| NPI Number | 1609821537 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 12/27/2013 |
| Medicare PECOS PAC ID | 2567412893 |
|---|---|
| Medicare Enrollment ID | O20050125000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609821537 | NPI | - | NPPES |
| 500F382740 | Other | MI | BCBS GROUP |
| 110F312710 | Other | MI | BCBS |
| 4709307 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301068024 (Michigan) | Primary |
| Provider Name | Leonard Ellison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679575328 PECOS PAC ID: 5395631188 Enrollment ID: I20040227000124 |
| Provider Name | Esther N Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184998528 PECOS PAC ID: 4789833799 Enrollment ID: I20121008000595 |
| Provider Name | Francine A Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194103390 PECOS PAC ID: 2365335700 Enrollment ID: I20151026002178 |
| Provider Name | Earnest N Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891435798 PECOS PAC ID: 6406239342 Enrollment ID: I20220810002175 |
Med-share, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26222 Telegraph Rd, Suite 100, Southfield, MI 48033 Phone: 248-827-7200 Fax: 248-827-2641 | |
Caring Doctors At Home Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29600 Northwestern Highway, Suite 106, Southfield, MI 48034 Phone: 313-258-4855 | |
Maecenas Health Systems Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26677 W 12 Mile Rd, Southfield, MI 48034 Phone: 248-358-6995 | |
Ark Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-924-1429 Fax: 248-419-2431 | |
Laina Feinstein Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29829 Telegraph Rd, Suite 107, Southfield, MI 48034 Phone: 248-304-0786 Fax: 248-354-8559 | |
Magnum Managment Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17600 W 8 Mile Rd, Suite # 5, Southfield, MI 48075 Phone: 248-424-9749 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26185 Greenfield Rd, Southfield, MI 48076 Phone: 248-569-2040 Fax: 248-569-2048 |