Southfield Premier Primary Care Pllc in Southfield, MI

Southfield Premier Primary Care Pllc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Southfield, Michigan. The current practice location for Southfield Premier Primary Care Pllc is 17070 W 12 Mile Rd Ste A, Southfield, Michigan. For appointments, you can reach them via phone at (248) 559-2280. The mailing address for Southfield Premier Primary Care Pllc is 17070 W 12 Mile Rd Ste A, Southfield, Michigan and phone number is (248) 559-2280.

Southfield Premier Primary Care Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1417682766. 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 (248) 559-2280.

Contact Information

	Southfield Premier Primary Care Pllc
	17070 W 12 Mile Rd Ste A Southfield MI 48076-2116
	(248) 559-2280
	(248) 559-3752

Map and Direction

Primary Care Clinic Profile

Full Name	Southfield Premier Primary Care Pllc
Speciality	Clinic/Center
Location	17070 W 12 Mile Rd Ste A, Southfield, Michigan
Authorized Official Name and Position	Rafid Mansour (MEDICAL DIRECTOR/PHYSICIAN)
Authorized Official Contact	2485592280
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Southfield Premier Primary Care Pllc 17070 W 12 Mile Rd Ste A Southfield MI 48076-2116 Ph: (248) 559-2280	Southfield Premier Primary Care Pllc 17070 W 12 Mile Rd Ste A Southfield MI 48076-2116 Ph: (248) 559-2280

NPI Details:

NPI Number	1417682766
Provider Enumeration Date	07/20/2022
Last Update Date	07/20/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	0042693541
Medicare Enrollment ID	O20220816003070

Medical Identifiers

Medical identifiers for Southfield Premier Primary Care Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417682766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Secondary
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southfield Premier Primary Care Pllc acts as a billing entity for following providers:

Provider Name	Rafid Y Mansour
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1265662308 PECOS PAC ID: 9133375991 Enrollment ID: I20120809000634

Reviews and Comments

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Southfield Premier Primary Care Pllc - Medicare Primary Care in Southfield, MI