| Longevity Clinical Ltc Associates Of Michigan Pllc | |
|
26505 Powers Ave Dearborn Heights MI 48125-1327 | |
| (313) 291-6200 | |
| Not Available |
| Full Name | Longevity Clinical Ltc Associates Of Michigan Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 26505 Powers Ave, Dearborn Heights, Michigan |
| Authorized Official Name and Position | Diane Vincur (CLINICAL SUPPORT TALENT SPECIALIST) |
| Authorized Official Contact | 5618152427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Clinical Ltc Associates Of Michigan Pllc 11770 Us Highway 1 Ste 102e Palm Beach Gardens FL 33408-3052 Ph: (561) 815-2427 | Longevity Clinical Ltc Associates Of Michigan Pllc 26505 Powers Ave Dearborn Heights MI 48125-1327 Ph: (313) 291-6200 |
| NPI Number | 1154992196 |
|---|---|
| Provider Enumeration Date | 07/09/2021 |
| Last Update Date | 07/09/2021 |
| Medicare PECOS PAC ID | 5395142442 |
|---|---|
| Medicare Enrollment ID | O20210916001736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154992196 | NPI | - | NPPES |
| Provider Name | Jennifer M Legge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801101159 PECOS PAC ID: 5597947721 Enrollment ID: I20110309000927 |
| Provider Name | Kathy R Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891126322 PECOS PAC ID: 0941421051 Enrollment ID: I20141014001809 |
| Provider Name | Margaret E Haglund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194141457 PECOS PAC ID: 9032438015 Enrollment ID: I20150427000325 |
| Provider Name | Yulonda Watt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972036382 PECOS PAC ID: 4082973201 Enrollment ID: I20180116002756 |
| Provider Name | Gloria Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164921839 PECOS PAC ID: 2860754173 Enrollment ID: I20180327000922 |
| Provider Name | Soraia Lynee Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942723176 PECOS PAC ID: 3375815244 Enrollment ID: I20180709000336 |
| Provider Name | Carolyn R Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346716610 PECOS PAC ID: 6103086020 Enrollment ID: I20181130002724 |
| Provider Name | Ogechi Nita Enyioko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285191254 PECOS PAC ID: 9739428632 Enrollment ID: I20190311001052 |
| Provider Name | Pauline Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447713177 PECOS PAC ID: 3971845355 Enrollment ID: I20190506000745 |
| Provider Name | Christy Lynn Goward |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1245866821 PECOS PAC ID: 9335565746 Enrollment ID: I20200817001377 |
| Provider Name | Adebukola R Orisadare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073004297 PECOS PAC ID: 5991114183 Enrollment ID: I20210428002448 |
| Provider Name | Laura Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699247684 PECOS PAC ID: 1850727744 Enrollment ID: I20210802000586 |
| Provider Name | Chidimma A Onwuegbuchu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235704222 PECOS PAC ID: 4284032228 Enrollment ID: I20211006001027 |
| Provider Name | Ashley Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477186104 PECOS PAC ID: 1355731217 Enrollment ID: I20211208000962 |
| Provider Name | Savannah Louise Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639701766 PECOS PAC ID: 4789061987 Enrollment ID: I20220509001770 |
| Provider Name | Jamie Nkechiyere Anumba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851027320 PECOS PAC ID: 3577948678 Enrollment ID: I20220909001216 |
| Provider Name | Maureen N Akaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760103907 PECOS PAC ID: 9436526688 Enrollment ID: I20221101002889 |
| Provider Name | Michael David Norwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164899043 PECOS PAC ID: 9133590284 Enrollment ID: I20230127000840 |
Pain And Spine Recovery Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8560 N Silvery Ln, Dearborn Heights, MI 48127 Phone: 248-525-8697 | |
Golden Physical Therapy Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22243 West Warren St, Dearborn Heights, MI 48127 Phone: 313-406-9446 Fax: 313-551-4768 | |
Family Doc Urgent Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25350 W Warren St, Dearborn Heights, MI 48127 Phone: 313-914-3666 Fax: 313-380-0672 | |
Family Doc Clinic And Urgent Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25350 W Warren St, Dearborn Heights, MI 48127 Phone: 313-914-3666 Fax: 313-380-0672 | |
Botsford Primary Care Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27031 W Warren St, Dearborn Heights, MI 48127 Phone: 313-274-3320 Fax: 313-730-9222 | |
Vitals N More Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7617 Highview St, Dearborn Heights, MI 48127 Phone: 248-914-3891 | |
Kay Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24748 W Warren St, Dearborn Heights, MI 48127 Phone: 313-278-1820 |