| Sage Medical Consultants Pc | |
|
38525 8 Mile Rd Livonia MI 48152-1012 | |
| (734) 542-5512 | |
| (734) 542-3315 |
| Full Name | Sage Medical Consultants Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 38525 8 Mile Rd, Livonia, Michigan |
| Authorized Official Name and Position | Gina Pierce (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7345425512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Medical Consultants Pc 18155 Peninsula Way Northville MI 48168-8496 Ph: (248) 321-6612 | Sage Medical Consultants Pc 38525 8 Mile Rd Livonia MI 48152-1012 Ph: (734) 542-5512 |
| NPI Number | 1740047992 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Medicare PECOS PAC ID | 0547606402 |
|---|---|
| Medicare Enrollment ID | O20240313003604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740047992 | NPI | - | NPPES |
| Provider Name | Andrew J Borin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346212800 PECOS PAC ID: 1052390267 Enrollment ID: I20040720000168 |
| Provider Name | Abul H M Shamsuddoha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265503031 PECOS PAC ID: 0446278527 Enrollment ID: I20070322000586 |
| Provider Name | Jennifer L Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659827376 PECOS PAC ID: 2163707555 Enrollment ID: I20170327002883 |
| Provider Name | Layla Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114471208 PECOS PAC ID: 8325308893 Enrollment ID: I20180131001796 |
| Provider Name | Collette Ubajiogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669233292 PECOS PAC ID: 0446783682 Enrollment ID: I20241028001035 |
| Provider Name | Nina Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013752526 PECOS PAC ID: 5698208296 Enrollment ID: I20241104000860 |
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