| Medical Care One Internal Medicine, Plc | |
|
2539 Ellsworth Rd Ste B Ypsilanti MI 48197-5619 | |
| (734) 330-2800 | |
| (734) 794-3411 |
| Full Name | Medical Care One Internal Medicine, Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2539 Ellsworth Rd Ste B, Ypsilanti, Michigan |
| Authorized Official Name and Position | Samer Nasry (OWNER) |
| Authorized Official Contact | 7343302800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Care One Internal Medicine, Plc 2539 Ellsworth Rd Ste B Ypsilanti MI 48197-5619 Ph: (734) 330-2800 | Medical Care One Internal Medicine, Plc 2539 Ellsworth Rd Ste B Ypsilanti MI 48197-5619 Ph: (734) 330-2800 |
| NPI Number | 1053022889 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 12/13/2022 |
| Medicare PECOS PAC ID | 5395100481 |
|---|---|
| Medicare Enrollment ID | O20230425000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053022889 | NPI | - | NPPES |
| 802942384 | Other | MI | MI DEPT OF LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Samer A Nasry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427002971 PECOS PAC ID: 7012929771 Enrollment ID: I20060620000183 |
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