| Mansour Mercy Medical Center Pllc | |
|
21321 Kelly Rd Ste 100 Eastpointe MI 48021-3214 | |
| (586) 443-5580 | |
| (586) 443-5590 |
| Full Name | Mansour Mercy Medical Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 21321 Kelly Rd Ste 100, Eastpointe, Michigan |
| Authorized Official Name and Position | Alaa G Mansour (PRESADENT) |
| Authorized Official Contact | 5864435580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansour Mercy Medical Center Pllc 21321 Kelly Rd Ste 100 Eastpointe MI 48021-3214 Ph: (586) 443-5580 | Mansour Mercy Medical Center Pllc 21321 Kelly Rd Ste 100 Eastpointe MI 48021-3214 Ph: (586) 443-5580 |
| NPI Number | 1699852343 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 10/08/2024 |
| Medicare PECOS PAC ID | 8820045503 |
|---|---|
| Medicare Enrollment ID | O20050405000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699852343 | NPI | - | NPPES |
| 1105015892 | Other | MI | BCBS |
| 4717292 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AM078660 (Michigan) | Primary |
| Provider Name | Alaa Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902896608 PECOS PAC ID: 3577528850 Enrollment ID: I20041129000416 |
Our Wellness Hub Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17401 E 10 Mile Rd, Eastpointe, MI 48021 Phone: 866-336-9355 | |
Prime Medical Health Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16184 E 10 Mile Rd Ste 101, Eastpointe, MI 48021 Phone: 586-779-4550 Fax: 586-779-4551 | |
Great Lakes Medical Group Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19070 E 10 Mile Rd, Eastpointe, MI 48021 Phone: 313-418-9952 | |
Thomas K Thomas Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22480 Kelly Rd, Suite 2, Eastpointe, MI 48021 Phone: 586-776-3340 Fax: 586-778-6460 | |
Right At Home Physicians Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22001 Kelly Rd Ste 2, Eastpointe, MI 48021 Phone: 586-510-0333 | |
Sacred Heart Rehabilitation Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22256 Marine Ave, Eastpointe, MI 48021 Phone: 586-541-9550 | |
Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24420 Gratiot Ave, Eastpointe, MI 48021 Phone: 586-778-7575 Fax: 586-778-7698 |