| Michael D Zerafa Pllc | |
|
445 N Fenway Dr Fenton MI 48430-2666 | |
| (810) 750-6050 | |
| (810) 750-6081 |
| Full Name | Michael D Zerafa Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 445 N Fenway Dr, Fenton, Michigan |
| Authorized Official Name and Position | Michael Zerafa (OWNER/PRESIDENT) |
| Authorized Official Contact | 8107506050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Zerafa Pllc 3495 S Center Rd Burton MI 48519-1455 Ph: (810) 424-2011 | Michael D Zerafa Pllc 445 N Fenway Dr Fenton MI 48430-2666 Ph: (810) 750-6050 |
| NPI Number | 1417336421 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 10/05/2017 |
| Medicare PECOS PAC ID | 7416260179 |
|---|---|
| Medicare Enrollment ID | O20150723009024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417336421 | NPI | - | NPPES |
| 1437400579 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301101651 (Michigan) | Primary |
| Provider Name | Michael D Zerafa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437400579 PECOS PAC ID: 1052631199 Enrollment ID: I20150723009114 |
| Provider Name | Lisa E Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407231566 PECOS PAC ID: 5294036323 Enrollment ID: I20151215001836 |
| Provider Name | Kelsea Drzewiecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184394397 PECOS PAC ID: 1052700861 Enrollment ID: I20211117001394 |
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