| Partners In Family Medicine, Pllc | |
|
8180 26 Mile Rd Suite 101 Shelby Township MI 48316-5129 | |
| (586) 677-3310 | |
| (586) 677-3326 |
| Full Name | Partners In Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 8180 26 Mile Rd, Shelby Township, Michigan |
| Authorized Official Name and Position | Gregory Koby (OWNER) |
| Authorized Official Contact | 2486080492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners In Family Medicine, Pllc 1949 Blue Grass Dr Rochester Hills MI 48306-3229 Ph: (248) 608-0492 | Partners In Family Medicine, Pllc 8180 26 Mile Rd Suite 101 Shelby Township MI 48316-5129 Ph: (586) 677-3310 |
| NPI Number | 1952592974 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Medicare PECOS PAC ID | 4688769516 |
|---|---|
| Medicare Enrollment ID | O20071005000817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952592974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101013537 (Michigan) | Primary |
| Provider Name | Gregory B Koby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164474078 PECOS PAC ID: 4082616339 Enrollment ID: I20070215000389 |
| Provider Name | Juli A Grover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508151903 PECOS PAC ID: 7416127386 Enrollment ID: I20110901000190 |
| Provider Name | Lindsay A Prusakiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922431642 PECOS PAC ID: 2163659103 Enrollment ID: I20131218000772 |
| Provider Name | Kristina M Wixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619358793 PECOS PAC ID: 3072819721 Enrollment ID: I20170228000549 |
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