| Premier Health Choice Group | |
|
4212 Ramsgate Ln Bloomfield Hills MI 48302-1635 | |
| (248) 937-0212 | |
| (248) 862-6964 |
| Full Name | Premier Health Choice Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4212 Ramsgate Ln, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Maria Mendoza (MANAGER) |
| Authorized Official Contact | 2489370212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Choice Group 4212 Ramsgate Ln Bloomfield Hills MI 48302-1635 Ph: (248) 937-0212 | Premier Health Choice Group 4212 Ramsgate Ln Bloomfield Hills MI 48302-1635 Ph: (248) 937-0212 |
| NPI Number | 1184245284 |
|---|---|
| Provider Enumeration Date | 04/29/2020 |
| Last Update Date | 11/19/2020 |
| Medicare PECOS PAC ID | 5991116105 |
|---|---|
| Medicare Enrollment ID | O20201119000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184245284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Maria Adriana Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689795072 PECOS PAC ID: 8022113232 Enrollment ID: I20070417000520 |
| Provider Name | Chong U Yi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366641573 PECOS PAC ID: 0244328169 Enrollment ID: I20071109000620 |
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