| Perry Mlk Medical Center P.c. | |
|
673 Martin Luther King Jr Blvd N Pontiac MI 48342-1627 | |
| (248) 338-2793 | |
| Not Available |
| Full Name | Perry Mlk Medical Center P.c. |
|---|---|
| Speciality | General Practice |
| Location | 673 Martin Luther King Jr Blvd N, Pontiac, Michigan |
| Authorized Official Name and Position | Bryan K Swilley (PRESIDENT) |
| Authorized Official Contact | 2483382793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry Mlk Medical Center P.c. 673 Martin Luther King Jr Blvd N Pontiac MI 48342-1627 Ph: (248) 338-2793 | Perry Mlk Medical Center P.c. 673 Martin Luther King Jr Blvd N Pontiac MI 48342-1627 Ph: (248) 338-2793 |
| NPI Number | 1407942394 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 10/26/2010 |
| Medicare PECOS PAC ID | 5395937353 |
|---|---|
| Medicare Enrollment ID | O20101008000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407942394 | NPI | - | NPPES |
| 0856308604 | Other | MI | BCBS OF MI |
| 000000001401 | Other | MI | CAPE HEALTH PLAN |
| 114402195 | Medicaid | MI | |
| 132616 | Other | MI | CARE CHOICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | BS010362 (Michigan) | Primary |
| Provider Name | Bryan Swilley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861409302 PECOS PAC ID: 6204028269 Enrollment ID: I20101026000874 |
Grace Pediatrics Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44200 Woodward Ave Ste 103, Pontiac, MI 48341 Phone: 248-253-9600 Fax: 248-253-0980 | |
Oakland Progressive Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Suite 600, Seminole Building, Pontiac, MI 48341 Phone: 248-857-7500 | |
Impact Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5516 Fax: 248-338-5547 | |
Oakland Physicians Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Pontiac, MI 48341 Phone: 248-857-7583 | |
A.w.c. Fairclough Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 989 University Dr, Suite 107, Pontiac, MI 48342 Phone: 248-334-4773 Fax: 248-334-8230 | |
Oakland Primary Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 N Saginaw St, Pontiac, MI 48342 Phone: 248-322-6747 Fax: 248-322-5787 | |
Kay Robertson Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 44200 Woodward Ave, Suite 205, Pontiac, MI 48341 Phone: 248-858-9400 Fax: 248-858-9493 |