Osh-mi Physicians Group Pc - Medicare Primary Care in Detroit, MI

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Osh-mi Physicians Group Pc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Detroit, Michigan. The current practice location for Osh-mi Physicians Group Pc is 11260 E Jefferson Ave, Detroit, Michigan. For appointments, you can reach them via phone at (313) 749-0148. The mailing address for Osh-mi Physicians Group Pc is 30 W Monroe St Ste 1200, Chicago, Illinois and phone number is (312) 733-9730.

Osh-mi Physicians Group Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1700236478. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (313) 749-0148.

Contact Information

Osh-mi Physicians Group Pc
11260 E Jefferson Ave
Detroit
MI 48214-3320
(313) 749-0148
(313) 263-3298

Map and Direction


Primary Care Clinic Profile

Full NameOsh-mi Physicians Group Pc
SpecialityClinic/Center
Location11260 E Jefferson Ave, Detroit, Michigan
Authorized Official Name and PositionGriffin Myers (CHIEF MEDICAL OFFICER)
Authorized Official Contact3072642085
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Osh-mi Physicians Group Pc
30 W Monroe St Ste 1200
Chicago
IL 60603-2420

Ph: (312) 733-9730		Osh-mi Physicians Group Pc
11260 E Jefferson Ave
Detroit
MI 48214-3320

Ph: (313) 749-0148

NPI Details:

NPI Number1700236478
Provider Enumeration Date06/14/2016
Last Update Date06/29/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7810282191
Medicare Enrollment IDO20160825001362

Medical Identifiers

Medical identifiers for Osh-mi Physicians Group Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700236478NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Osh-mi Physicians Group Pc acts as a billing entity for following providers:
Provider NameDarla S Murphy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841284437
PECOS PAC ID: 1850384090
Enrollment ID: I20040405001204
Provider NameFlorence E Thomas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649289083
PECOS PAC ID: 5193704450
Enrollment ID: I20040719001397
Provider NameDianne K Junior
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003806688
PECOS PAC ID: 9335175363
Enrollment ID: I20050712000331
Provider NameMark Bustamante
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871568402
PECOS PAC ID: 2860421666
Enrollment ID: I20050811000715
Provider NameMark A Fredrickson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356426712
PECOS PAC ID: 9739113770
Enrollment ID: I20050922000802
Provider NameDavid E Randolph
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497709026
PECOS PAC ID: 3678574191
Enrollment ID: I20070126000243
Provider NameSchawana B Thaxton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306928395
PECOS PAC ID: 3173627544
Enrollment ID: I20070326000272
Provider NameClarisse M Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932247889
PECOS PAC ID: 3173628468
Enrollment ID: I20070416000117
Provider NameBurhan M Tajour
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245431626
PECOS PAC ID: 6103926324
Enrollment ID: I20070717000235
Provider NameSandra Manssur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336252329
PECOS PAC ID: 1355436288
Enrollment ID: I20071005000785
Provider NameAsma Al-hamid
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083641021
PECOS PAC ID: 0749259323
Enrollment ID: I20080118000396
Provider NameRita A Gatia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801122312
PECOS PAC ID: 6002958618
Enrollment ID: I20100120000520
Provider NameKeyur N Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770543803
PECOS PAC ID: 8022152628
Enrollment ID: I20100220000107
Provider NameCharles L Loredo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427249408
PECOS PAC ID: 4981720026
Enrollment ID: I20100927000978
Provider NameJeffrey P Yanez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851360739
PECOS PAC ID: 9234327750
Enrollment ID: I20101228000935
Provider NameToni R Nickel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992888556
PECOS PAC ID: 3375726318
Enrollment ID: I20110329000119
Provider NameAngela F Woodley Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861624058
PECOS PAC ID: 7012192263
Enrollment ID: I20110503000408
Provider NameElizabeth M Stob
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356621783
PECOS PAC ID: 0345412300
Enrollment ID: I20111017000605
Provider NameMatthew C Slendebroek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942445945
PECOS PAC ID: 6608913470
Enrollment ID: I20111020000519
Provider NameHolly A Chambers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780977801
PECOS PAC ID: 8325214273
Enrollment ID: I20111227000691
Provider NameAlexander Cusmano
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164757514
PECOS PAC ID: 2062678618
Enrollment ID: I20120725000844
Provider NameKristina L Jordan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750649737
PECOS PAC ID: 8123277217
Enrollment ID: I20121004000691
Provider NameEsther N Rogers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184998528
PECOS PAC ID: 4789833799
Enrollment ID: I20121008000595
Provider NameCarrie K Peraino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679824254
PECOS PAC ID: 4880845718
Enrollment ID: I20121127000137
Provider NameRachel Sabb
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629321096
PECOS PAC ID: 0547412371
Enrollment ID: I20121130000329
Provider NameShanette L Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679815203
PECOS PAC ID: 2961640917
Enrollment ID: I20130603000310
Provider NameLekeysha Robinson-royster
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497934590
PECOS PAC ID: 0648404814
Enrollment ID: I20131002000438
Provider NameKristina M Suede
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720328420
PECOS PAC ID: 1355410432
Enrollment ID: I20131109000209
Provider NameStephanie J French
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578992335
PECOS PAC ID: 7719115732
Enrollment ID: I20140118000310
Provider NameEnaia Nabha
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881907418
PECOS PAC ID: 8426287863
Enrollment ID: I20140206000825
Provider NameContent G Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841629466
PECOS PAC ID: 7618108267
Enrollment ID: I20140324001071
Provider NameNilufa Akhter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962794628
PECOS PAC ID: 5294953964
Enrollment ID: I20140822000659
Provider NameBrenda Hughes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659617678
PECOS PAC ID: 6406045871
Enrollment ID: I20150120000664
Provider NameJuliette M Perzhinsky
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912128919
PECOS PAC ID: 8729176045
Enrollment ID: I20150420000457
Provider NameAlbert Ujkaj
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053700328
PECOS PAC ID: 6002127644
Enrollment ID: I20150623001489
Provider NameShirlene M Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427425420
PECOS PAC ID: 6204146988
Enrollment ID: I20151109001831
Provider NameJoy A Sandy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013382357
PECOS PAC ID: 0446559058
Enrollment ID: I20160504000277
Provider NameCheryl E Nickolaou
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821466277
PECOS PAC ID: 5496048274
Enrollment ID: I20160802001749
Provider NameJulia Echols
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033561188
PECOS PAC ID: 2163717893
Enrollment ID: I20160819001779
Provider NameJames Choi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013359645
PECOS PAC ID: 3173814035
Enrollment ID: I20160915001744
Provider NameAleisha Orr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700233889
PECOS PAC ID: 4486932571
Enrollment ID: I20161025000059
Provider NameJennifer Bouck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427507953
PECOS PAC ID: 2062791445
Enrollment ID: I20161108002083
Provider NameJennifer Foggio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740649680
PECOS PAC ID: 5799074837
Enrollment ID: I20170109000347
Provider NameTheresa Manteil Cox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164965703
PECOS PAC ID: 7416239272
Enrollment ID: I20170131002262
Provider NameTimanika Dansby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083016547
PECOS PAC ID: 5698061299
Enrollment ID: I20170518000514
Provider NameJammie K Pierson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972041291
PECOS PAC ID: 7911274774
Enrollment ID: I20170525002461
Provider NameNikki Lynn Tocco
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194091694
PECOS PAC ID: 8325353436
Enrollment ID: I20170707002358
Provider NameLubna Sarraf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578973962
PECOS PAC ID: 6204145030
Enrollment ID: I20170811000198
Provider NameLuma Beydoun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114449295
PECOS PAC ID: 9739450636
Enrollment ID: I20170811000671
Provider NameRebecca K Busk Sutton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255757985
PECOS PAC ID: 0143445387
Enrollment ID: I20171030000839
Provider NameJanita K Easter
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1548770456
PECOS PAC ID: 9436416161
Enrollment ID: I20171205000359
Provider NameLeila Abbas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356857056
PECOS PAC ID: 9739448812
Enrollment ID: I20180117002802
Provider NameHonorine N Njita
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124322672
PECOS PAC ID: 6800159294
Enrollment ID: I20180418000050
Provider NameBabatunde Ogundipe
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1497911267
PECOS PAC ID: 7315292331
Enrollment ID: I20180615000457
Provider NameTamika Marie Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013456201
PECOS PAC ID: 7113274101
Enrollment ID: I20180723000810
Provider NameManpreet Kaur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326514944
PECOS PAC ID: 9638413552
Enrollment ID: I20181204002478
Provider NameCharlton Castillo Lacerna
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235373135
PECOS PAC ID: 2365694775
Enrollment ID: I20181213001264
Provider NameLekisha R Weathersby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912490129
PECOS PAC ID: 2365781481
Enrollment ID: I20190306002735
Provider NameDemetris Lavette Daniels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215412416
PECOS PAC ID: 1153661756
Enrollment ID: I20190318002902
Provider NameTonya Renee Collins-pickett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275957185
PECOS PAC ID: 3375883408
Enrollment ID: I20190327000900
Provider NameChristopher Tanner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922566728
PECOS PAC ID: 2860733581
Enrollment ID: I20190408000202
Provider NameAnas Salih
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508251539
PECOS PAC ID: 9335432954
Enrollment ID: I20190524001777
Provider NameDeanna Sklarski
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437682457
PECOS PAC ID: 6507109980
Enrollment ID: I20190529000408
Provider NameLomyda Mechon Lofton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942552617
PECOS PAC ID: 1254665581
Enrollment ID: I20190620001357
Provider NameAriola Cacaj Dixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083267801
PECOS PAC ID: 8527399070
Enrollment ID: I20191014002938
Provider NameJane Kennedy Bays
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053728030
PECOS PAC ID: 9436480845
Enrollment ID: I20191016002979
Provider NameMichele Mitchell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174505325
PECOS PAC ID: 9234215401
Enrollment ID: I20191121002996
Provider NameGaybriel Morrell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114307352
PECOS PAC ID: 6204135742
Enrollment ID: I20200221000496
Provider NameStephanie Mcgarity
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265820286
PECOS PAC ID: 5597187476
Enrollment ID: I20200623001129
Provider NameRandall M Mcpherson Jr
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083148829
PECOS PAC ID: 6901175389
Enrollment ID: I20200727001802
Provider NameVrikshajanani Chakravarthy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659891513
PECOS PAC ID: 8224307491
Enrollment ID: I20200807002063
Provider NameElizabeth Jager
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477095826
PECOS PAC ID: 6901187368
Enrollment ID: I20200902002512
Provider NameJillian F Sinkoff
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457883720
PECOS PAC ID: 9931438488
Enrollment ID: I20200903000999
Provider NameFredy Masongsong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972951200
PECOS PAC ID: 0648564302
Enrollment ID: I20201125001421
Provider NameCora Marie Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639586399
PECOS PAC ID: 2163644055
Enrollment ID: I20201202002352
Provider NameMira Desai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538559190
PECOS PAC ID: 6800104787
Enrollment ID: I20201202002478
Provider NameJustin Hunt
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1326138074
PECOS PAC ID: 6901842228
Enrollment ID: I20210114001259
Provider NameLori A Klopfenstein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467630145
PECOS PAC ID: 8022148824
Enrollment ID: I20210416001333
Provider NameCharles Miramonti
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1922040922
PECOS PAC ID: 1557343381
Enrollment ID: I20210512001393
Provider NameKimberly Fisher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649522269
PECOS PAC ID: 8426203639
Enrollment ID: I20210514001327
Provider NameSarah Torregiani
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1891774980
PECOS PAC ID: 0840231452
Enrollment ID: I20210811003872
Provider NameJaleesa Pouncil
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376167460
PECOS PAC ID: 7517362064
Enrollment ID: I20210820001132
Provider NameHebah Arroyo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265951792
PECOS PAC ID: 1557787637
Enrollment ID: I20210820001679
Provider NameRebecca Murray
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134557473
PECOS PAC ID: 2365675451
Enrollment ID: I20211118002313
Provider NameElsina John
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073185997
PECOS PAC ID: 5092109827
Enrollment ID: I20220222000199
Provider NameLindsey Parks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942957824
PECOS PAC ID: 9133515133
Enrollment ID: I20220330002574
Provider NameRachel Hildebrand
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528531258
PECOS PAC ID: 7416299748
Enrollment ID: I20220519002186
Provider NameMayuri Dasari
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194037044
PECOS PAC ID: 7810212644
Enrollment ID: I20220719001604
Provider NameTuwanda Williamson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629018528
PECOS PAC ID: 6608817630
Enrollment ID: I20220720002793
Provider NameJill Barry
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285629238
PECOS PAC ID: 1052206000
Enrollment ID: I20220720003049
Provider NameLatorya A Ellison
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669963047
PECOS PAC ID: 3476808965
Enrollment ID: I20220725002003
Provider NameLeen Nusairat
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881257772
PECOS PAC ID: 1254714009
Enrollment ID: I20220811003238
Provider NameCharles William Harrison
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518523877
PECOS PAC ID: 0345618591
Enrollment ID: I20221121000573
Provider NameSuzan Kimberly Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194451518
PECOS PAC ID: 6608880562
Enrollment ID: I20221123001352
Provider NameMaria F Wilson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699978114
PECOS PAC ID: 1951402098
Enrollment ID: I20221213000479
Provider NameChristiana Allen-pipkin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1952043895
PECOS PAC ID: 7719358258
Enrollment ID: I20230120001739
Provider NameLarisa Chernishuk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720730039
PECOS PAC ID: 6901277185
Enrollment ID: I20230126000759
Provider NameSharon Varano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659953073
PECOS PAC ID: 5799157475
Enrollment ID: I20230206001711
Provider NameJacquelyn E Starks
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730529405
PECOS PAC ID: 4880067727
Enrollment ID: I20230224000281
Provider NamePeter Vasquez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548535735
PECOS PAC ID: 2466762166
Enrollment ID: I20230620002009
Provider NameKanksha Peddi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801416581
PECOS PAC ID: 4789069212
Enrollment ID: I20230718001226
Provider NameAisha Barlas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730728379
PECOS PAC ID: 1850754961
Enrollment ID: I20230822003738
Provider NameDiana Florence Ferraiuolo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063116317
PECOS PAC ID: 1052774056
Enrollment ID: I20230823003608
Provider NameBianca Banks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245954056
PECOS PAC ID: 6103289087
Enrollment ID: I20230824002857
Provider NameHamedah Mosed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205550548
PECOS PAC ID: 4385008267
Enrollment ID: I20230911003178
Provider NameTonya Hegwood
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023250578
PECOS PAC ID: 5395966006
Enrollment ID: I20230911003585
Provider NameBriana Roy
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1558003020
PECOS PAC ID: 5193189090
Enrollment ID: I20230911003726
Provider NameAlaa Hammond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700577442
PECOS PAC ID: 1355705252
Enrollment ID: I20230911003792
Provider NameDeborah Jean Thompson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831185958
PECOS PAC ID: 0345604856
Enrollment ID: I20230918001749
Provider NameMonique Patrece Yelder
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255922860
PECOS PAC ID: 5890149181
Enrollment ID: I20230920001236
Provider NameChristopher Harvey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881478592
PECOS PAC ID: 9436596251
Enrollment ID: I20240328000359

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.