| Troy Family Practice Pllc | |
|
2041 E Square Lake Rd Suite 300 Troy MI 48085 | |
| (248) 813-0124 | |
| (248) 879-0148 |
| Full Name | Troy Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2041 E Square Lake Rd, Troy, Michigan |
| Authorized Official Name and Position | Stacey Beltz (PHYSICIAN) |
| Authorized Official Contact | 2488130124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Troy Family Practice Pllc 2041 E Square Lake Rd. Suite 300 Troy MI 48085 Ph: (248) 813-0124 | Troy Family Practice Pllc 2041 E Square Lake Rd Suite 300 Troy MI 48085 Ph: (248) 813-0124 |
| NPI Number | 1366465270 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 06/19/2024 |
| Medicare PECOS PAC ID | 6800856139 |
|---|---|
| Medicare Enrollment ID | O20041012000926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366465270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | SS072019 (Michigan) | Primary |
| Provider Name | Stacey Beltz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225007255 PECOS PAC ID: 1355307117 Enrollment ID: I20041203000731 |
| Provider Name | Amanda Ryan Tromley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639825219 PECOS PAC ID: 2860886157 Enrollment ID: I20220302002358 |
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