| Regional Medical Partners Pa | |
|
21333 Haggerty Rd Suite 150 Novi MI 48375-5510 | |
| (248) 662-0250 | |
| (248) 662-9845 |
| Full Name | Regional Medical Partners Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 21333 Haggerty Rd, Novi, Michigan |
| Authorized Official Name and Position | Thomas M Prose (PRESIDENT) |
| Authorized Official Contact | 2486620250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Medical Partners Pa 21333 Haggerty Rd Suite 150 Novi MI 48375-5510 Ph: (248) 662-0250 | Regional Medical Partners Pa 21333 Haggerty Rd Suite 150 Novi MI 48375-5510 Ph: (248) 662-0250 |
| NPI Number | 1366803405 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 08/04/2016 |
| Medicare PECOS PAC ID | 8022316256 |
|---|---|
| Medicare Enrollment ID | O20160506000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366803405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (Michigan) | Primary |
| 363L00000X | Nurse Practitioner | (Michigan) | Secondary |
| Provider Name | Rosalind A Cropper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124243837 PECOS PAC ID: 4880597681 Enrollment ID: I20040129000531 |
| Provider Name | James G Matrisciano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952351769 PECOS PAC ID: 9830089879 Enrollment ID: I20040316000233 |
| Provider Name | Cynthia T Kieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396978532 PECOS PAC ID: 4486700309 Enrollment ID: I20090917000709 |
| Provider Name | Vanessa Nguyen Gehring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063624096 PECOS PAC ID: 5193801488 Enrollment ID: I20100416000744 |
| Provider Name | Samer Bakhos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194997338 PECOS PAC ID: 2264602101 Enrollment ID: I20110831000606 |
| Provider Name | Deborah Ann Pritchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467776740 PECOS PAC ID: 6901154145 Enrollment ID: I20180806000919 |
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