| Primary Care Specialists, P.c. | |
|
33611 Warren Rd Westland MI 48185-2787 | |
| (734) 641-8900 | |
| (734) 641-8970 |
| Full Name | Primary Care Specialists, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 33611 Warren Rd, Westland, Michigan |
| Authorized Official Name and Position | Kathleen L Banach (OFFICE MANAGER) |
| Authorized Official Contact | 7346418900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Specialists, P.c. 33611 Warren Rd Westland MI 48185-2787 Ph: (734) 641-8900 | Primary Care Specialists, P.c. 33611 Warren Rd Westland MI 48185-2787 Ph: (734) 641-8900 |
| NPI Number | 1356522247 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 11/19/2007 |
| Medicare PECOS PAC ID | 5294629390 |
|---|---|
| Medicare Enrollment ID | O20040210000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356522247 | NPI | - | NPPES |
| 4383661 | Medicaid | MI | |
| 4383670 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elise E Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386746725 PECOS PAC ID: 1658265764 Enrollment ID: I20040212000860 |
| Provider Name | Lisa M Oneil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437252749 PECOS PAC ID: 7315831971 Enrollment ID: I20040212000893 |
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