| Michigan Health Specialist, Llc | |
|
G3494 Beecher Rd Flint MI 48532-2735 | |
| (810) 309-9734 | |
| Not Available |
| Full Name | Michigan Health Specialist, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | G3494 Beecher Rd, Flint, Michigan |
| Authorized Official Name and Position | Kevin Cuccinelli (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8103099734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Health Specialist, Llc G3494 Beecher Rd Flint MI 48532-2735 Ph: (810) 309-9734 | Michigan Health Specialist, Llc G3494 Beecher Rd Flint MI 48532-2735 Ph: (810) 309-9734 |
| NPI Number | 1104367242 |
|---|---|
| Provider Enumeration Date | 03/08/2017 |
| Last Update Date | 03/08/2017 |
| Medicare PECOS PAC ID | 6002183837 |
|---|---|
| Medicare Enrollment ID | O20170530001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104367242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301111425 (Michigan) | Primary |
| Provider Name | Rachel G Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780078576 PECOS PAC ID: 0648584359 Enrollment ID: I20150807014489 |
| Provider Name | Kevin J Cuccinelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770553794 PECOS PAC ID: 4486631074 Enrollment ID: I20170726003554 |
| Provider Name | Yer Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699268656 PECOS PAC ID: 7012260250 Enrollment ID: I20181105002519 |
| Provider Name | Tamara Delquenna Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114489879 PECOS PAC ID: 5395086789 Enrollment ID: I20190412000001 |
| Provider Name | April Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861955932 PECOS PAC ID: 6406289719 Enrollment ID: I20191127000526 |
| Provider Name | Veronica Woelke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801421953 PECOS PAC ID: 9537599378 Enrollment ID: I20200420001442 |
| Provider Name | Abigail M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992462501 PECOS PAC ID: 7517347511 Enrollment ID: I20220708000815 |
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