| Novus Primary Care, Pllc | |
|
3211 Coolidge Hwy Berkley MI 48072-1633 | |
| (248) 514-3397 | |
| Not Available |
| Full Name | Novus Primary Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3211 Coolidge Hwy, Berkley, Michigan |
| Authorized Official Name and Position | Alexandra Lee Pierret (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2485143397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novus Primary Care, Pllc 3707 Linwood Ave Royal Oak MI 48073-2355 Ph: (248) 514-3397 | Novus Primary Care, Pllc 3211 Coolidge Hwy Berkley MI 48072-1633 Ph: (248) 514-3397 |
| NPI Number | 1861159600 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 04/22/2022 |
| Medicare PECOS PAC ID | 9739576208 |
|---|---|
| Medicare Enrollment ID | O20220502001242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861159600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Alexandra Lee Pierret |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376925131 PECOS PAC ID: 3476826520 Enrollment ID: I20170912000889 |
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