Ltc Physician Care Pc | |
30600 Telegraph Rd Ste 1130 Bingham Farms MI 48025-4531 | |
(248) 621-0371 | |
Not Available |
Full Name | Ltc Physician Care Pc |
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Speciality | Family Medicine |
Location | 30600 Telegraph Rd Ste 1130, Bingham Farms, Michigan |
Authorized Official Name and Position | Steven Merahn (OWNER) |
Authorized Official Contact | 9176898954 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ltc Physician Care Pc 30600 Telegraph Rd Ste 1130 Bingham Farms MI 48025-4531 Ph: (248) 621-0371 | Ltc Physician Care Pc 30600 Telegraph Rd Ste 1130 Bingham Farms MI 48025-4531 Ph: (248) 621-0371 |
NPI Number | 1841991817 |
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Provider Enumeration Date | 03/15/2023 |
Last Update Date | 04/24/2024 |
Medicare PECOS PAC ID | 8224496575 |
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Medicare Enrollment ID | O20230620001465 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841991817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Daniel Thomas Carrel |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1831127158 PECOS PAC ID: 0345226783 Enrollment ID: I20040626000404 |
Provider Name | Lynda L Hulst |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811942519 PECOS PAC ID: 6305875881 Enrollment ID: I20050804000896 |
Provider Name | William Hubert Dukes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154322113 PECOS PAC ID: 2860409984 Enrollment ID: I20060315000325 |
Provider Name | Anthony F Harris |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477763878 PECOS PAC ID: 9335234251 Enrollment ID: I20071005000707 |
Provider Name | Orest J Sowirka |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396720561 PECOS PAC ID: 8022164060 Enrollment ID: I20090916000711 |
Provider Name | Victoria D Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417361502 PECOS PAC ID: 4688891450 Enrollment ID: I20140821000718 |
Provider Name | Carole Lenzo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881061497 PECOS PAC ID: 2961711403 Enrollment ID: I20151022002168 |
Provider Name | Jenna Leigh Larkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134581994 PECOS PAC ID: 5991003246 Enrollment ID: I20160802002766 |
Provider Name | Monique R Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487198255 PECOS PAC ID: 2961761184 Enrollment ID: I20180116002302 |
Provider Name | Marie Chris Eamon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952770380 PECOS PAC ID: 4385940246 Enrollment ID: I20180206001395 |
Provider Name | Jessica Marie Terhorst |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508528290 PECOS PAC ID: 0143619502 Enrollment ID: I20211105001563 |
Provider Name | Shannetta L Houze-dixon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891449930 PECOS PAC ID: 1355735093 Enrollment ID: I20220223002038 |
Provider Name | Mitchell Alan Pohl |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710618095 PECOS PAC ID: 7012375280 Enrollment ID: I20230620002700 |
Provider Name | Angela Soto |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114696960 PECOS PAC ID: 7719347707 Enrollment ID: I20230724000145 |
Provider Name | Erica Gilley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619651197 PECOS PAC ID: 3870955792 Enrollment ID: I20230809002635 |
Provider Name | Claudia Ann Mcpartlin-weihler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407537913 PECOS PAC ID: 5698123362 Enrollment ID: I20231120001166 |
Provider Name | Rebecca Souhel Awabdeh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144094905 PECOS PAC ID: 6608226675 Enrollment ID: I20240103002538 |
Provider Name | Kenisha Jean Evans |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447770722 PECOS PAC ID: 1951671965 Enrollment ID: I20240124001781 |
Provider Name | Abubakir Baban |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740964527 PECOS PAC ID: 3072950476 Enrollment ID: I20240321000178 |
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