| Progressive Care Medical Group Of Mi, Pllc | |
|
2200 Ford Rd White Lake MI 48383-3120 | |
| (516) 855-5255 | |
| Not Available |
| Full Name | Progressive Care Medical Group Of Mi, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2200 Ford Rd, White Lake, Michigan |
| Authorized Official Name and Position | Deepak Rameshchandra Patel (OWNER) |
| Authorized Official Contact | 2127346621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Care Medical Group Of Mi, Pllc 150 Eileen Way Unit 1 Syosset NY 11791-5313 Ph: (516) 855-5255 | Progressive Care Medical Group Of Mi, Pllc 2200 Ford Rd White Lake MI 48383-3120 Ph: (516) 855-5255 |
| NPI Number | 1861966244 |
|---|---|
| Provider Enumeration Date | 01/18/2019 |
| Last Update Date | 07/25/2024 |
| Medicare PECOS PAC ID | 5294075040 |
|---|---|
| Medicare Enrollment ID | O20190314001333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861966244 | NPI | - | NPPES |
| Provider Name | Phillip S Eisenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619075637 PECOS PAC ID: 7012958333 Enrollment ID: I20060207000695 |
| Provider Name | Francesca Marie Buskulic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023383668 PECOS PAC ID: 4688989080 Enrollment ID: I20150813011791 |
| Provider Name | Jennifer Lynn Araoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720452253 PECOS PAC ID: 3274834213 Enrollment ID: I20151217000777 |
| Provider Name | Gregg Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932553799 PECOS PAC ID: 8022309855 Enrollment ID: I20160624000955 |
| Provider Name | Amanda Rose Koester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508301383 PECOS PAC ID: 4183907249 Enrollment ID: I20170215001644 |
| Provider Name | Erin Maree Warriner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174068050 PECOS PAC ID: 9335422492 Enrollment ID: I20170215001755 |
| Provider Name | Daniel Paul Butcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730807793 PECOS PAC ID: 8123494150 Enrollment ID: I20221017002068 |
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