R Faye Maribao Do Pllc is a medicare enrolled primary clinic (Family Medicine) in St Clair Shrs, Michigan. The current practice location for R Faye Maribao Do Pllc is 21600 Harper Ave, #100, St Clair Shrs, Michigan. For appointments, you can reach them via phone at
(586) 498-1160. The mailing address for R Faye Maribao Do Pllc is 21600 Harper Ave Ste 200, St Clair Shrs, Michigan and phone number is (586) 498-1160.
R Faye Maribao Do Pllc is licensed to practice in Michigan (license number 014672). The clinic also participates in the medicare program and its
NPI number is 1427115724. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(586) 498-1160.
Primary Care Clinic Profile
| Full Name | R Faye Maribao Do Pllc |
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| Speciality | Family Medicine |
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| Location | 21600 Harper Ave, St Clair Shrs, Michigan |
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| Authorized Official Name and Position | Rhetta Faye Maribao (OWNER) |
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| Authorized Official Contact | 5864981160 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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R Faye Maribao Do Pllc
21600 Harper Ave Ste 200
St Clair Shrs
MI 48080-2242
Ph: (586) 498-1160 | R Faye Maribao Do Pllc
21600 Harper Ave
#100
St Clair Shrs
MI 48080
Ph: (586) 498-1160 |
NPI Details:
| NPI Number | 1427115724 |
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| Provider Enumeration Date | 01/03/2007 |
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| Last Update Date | 07/26/2018 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5799799219 |
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| Medicare Enrollment ID | O20060203000182 |
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Medical Identifiers
Medical identifiers for R Faye Maribao Do Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427115724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 014672 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
R Faye Maribao Do Pllc acts as a billing entity for following providers:
| Provider Name | Rhetta Faye C Maribao |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1174549299
PECOS PAC ID: 8527961945
Enrollment ID: I20040131000187 |
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