Prestige Health Services Plc | |
5400 Fort St Suite 130 Trenton MI 48183-4632 | |
(734) 362-7100 | |
(734) 671-1768 |
Full Name | Prestige Health Services Plc |
---|---|
Speciality | Internal Medicine |
Location | 5400 Fort St, Trenton, Michigan |
Authorized Official Name and Position | James Richard Johnson (OWNER) |
Authorized Official Contact | 7343627100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Prestige Health Services Plc 5400 Fort St Suite 130 Trenton MI 48183-4632 Ph: (734) 362-7100 | Prestige Health Services Plc 5400 Fort St Suite 130 Trenton MI 48183-4632 Ph: (734) 362-7100 |
NPI Number | 1720291818 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 11/12/2013 |
Medicare PECOS PAC ID | 3173616471 |
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Medicare Enrollment ID | O20070831000410 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720291818 | NPI | - | NPPES |
5191916 | Medicaid | MI | |
110H232900 | Other | MI | BCN |
1158215544 | Other | MI | BCN- INDIVIDUAL |
E42955 | Other | MI | HAP |
110H232900 | Other | MI | BCBS |
1158215544 | Other | MI | BCBS INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | James R Johnson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316901754 PECOS PAC ID: 1456394469 Enrollment ID: I20050609000675 |
Preet Sandhu, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3851 West Rd, Suite 2, Trenton, MI 48183 Phone: 734-675-5100 Fax: 734-671-1819 | |
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Ben Go M.d. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1650 Fort St, Suite E, Trenton, MI 48183 Phone: 734-692-6676 | |
Michelle Bauer Do Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1570 Kingsway Ct, Trenton, MI 48183 Phone: 833-373-7389 Fax: 734-789-9353 |