| Same | |
|
9925 Dix Ste 103 Dearborn MI 48120-1593 | |
| (313) 843-8300 | |
| Not Available |
| Full Name | Same |
|---|---|
| Speciality | Clinic/Center |
| Location | 9925 Dix Ste 103, Dearborn, Michigan |
| Authorized Official Name and Position | Ali Mohamed Nassser (PRESIDENT) |
| Authorized Official Contact | 3138438300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Same Po Box 4186 Dearborn MI 48126-0186 Ph: (313) 843-8300 | Same 9925 Dix Ste 103 Dearborn MI 48120-1593 Ph: (313) 843-8300 |
| NPI Number | 1386839215 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 01/21/2021 |
| Medicare PECOS PAC ID | 6608851811 |
|---|---|
| Medicare Enrollment ID | O20040622000857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386839215 | NPI | - | NPPES |
| 4627749 | Medicaid | MI | |
| 1108227222 | Other | MI | BLUE CROSS BLUR SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301077843 (Michigan) | Primary |
| Provider Name | Ali M Nasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477513158 PECOS PAC ID: 3779568993 Enrollment ID: I20040623000027 |
| Provider Name | Allyson Hallahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710357348 PECOS PAC ID: 2769768027 Enrollment ID: I20170421000211 |
| Provider Name | Fatima A Syed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760996797 PECOS PAC ID: 9830457530 Enrollment ID: I20180102001294 |
| Provider Name | Lin Ma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073237608 PECOS PAC ID: 3971954686 Enrollment ID: I20240108000390 |
| Provider Name | Shems Al-taie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770127029 PECOS PAC ID: 2365880242 Enrollment ID: I20240411000788 |
Infinity Visiting Physicians Associate Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5245 Schaefer Rd Ste D, Dearborn, MI 48126 Phone: 248-862-5311 | |
Dearborn Family Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3133 S Telegraph Rd, Dearborn, MI 48124 Phone: 313-565-6566 Fax: 313-561-5554 | |
W.j. Ringold M.d.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Monroe St, Dearborn, MI 48124 Phone: 313-562-9100 Fax: 313-562-5851 | |
Dearborn Internist P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10066 Dix Ave, Suite 100, Dearborn, MI 48120 Phone: 313-849-4949 Fax: 313-849-0469 | |
Positron Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6437 Argyle St, Dearborn, MI 48126 Phone: 650-503-9990 | |
Henry Ford Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5111 Auto Club Dr, Suite 112, Dearborn, MI 48126 Phone: 313-317-2000 Fax: 313-317-2090 | |
Michigan Medical Services Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13530 Michigan Ave, Dearborn, MI 48126 Phone: 313-945-0075 |