| Verified Provider Services Pllc | |
|
25880 Outer Dr Lincoln Park MI 48146-1553 | |
| (844) 509-4070 | |
| (800) 509-3646 |
| Full Name | Verified Provider Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 25880 Outer Dr, Lincoln Park, Michigan |
| Authorized Official Name and Position | Jinit Shah (ADMIN) |
| Authorized Official Contact | 7347724722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verified Provider Services Pllc 25880 Outer Dr Lincoln Park MI 48146-1553 Ph: (844) 509-4070 | Verified Provider Services Pllc 25880 Outer Dr Lincoln Park MI 48146-1553 Ph: (844) 509-4070 |
| NPI Number | 1821820952 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 1254862907 |
|---|---|
| Medicare Enrollment ID | O20241004001421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821820952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Satish R Khanzode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275505695 PECOS PAC ID: 0840186060 Enrollment ID: I20040226000473 |
| Provider Name | Ambujam R Krishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548231749 PECOS PAC ID: 0840274841 Enrollment ID: I20040617001469 |
| Provider Name | Payal J Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063879369 PECOS PAC ID: 4688966823 Enrollment ID: I20160708001795 |
| Provider Name | Jinit D Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548792534 PECOS PAC ID: 2062798101 Enrollment ID: I20170404001702 |
| Provider Name | Karrin Burnadette Boylston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194411702 PECOS PAC ID: 0143685826 Enrollment ID: I20230502002671 |
And J Management Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1674 Leblanc St, Lincoln Park, MI 48146 Phone: 313-402-9257 | |
Shashi K Malik, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2176 Fort St, Lincoln Park, MI 48146 Phone: 313-381-0713 | |
Joseph A. George,md,pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4006 Fort St, Lincoln Park, MI 48146 Phone: 313-386-3200 Fax: 313-388-3335 | |
Health One Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3022 Dix Hwy, Lincoln Park, MI 48146 Phone: 313-381-5674 Fax: 313-381-7224 | |
Oakman Medical Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3755 Fort St, Lincoln Park, MI 48146 Phone: 313-908-1941 Fax: 313-908-9496 | |