| Angelique Nikkol-telycenas Ellison, DO | |
|
5400 Fort St Ste 250, Trenton, MI 48183-4630 | |
| (734) 642-2480 | |
| (734) 642-2475 |
| Full Name | Angelique Nikkol-telycenas Ellison |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 12 Years |
| Location | 5400 Fort St Ste 250, Trenton, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154769214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 5101020652 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Trenton | Trenton, MI | Hospital |
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Beaumont Hospital - Taylor | Taylor, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oakwood Ambulatory Llc | 1850282914 | 258 |
| Entity Name | Oakwood Ambulatory Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelique Nikkol-telycenas Ellison, DO 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1863 | Angelique Nikkol-telycenas Ellison, DO 5400 Fort St Ste 250, Trenton, MI 48183-4630 Ph: (734) 642-2480 |
Dr. Ahmad I Al-jerdi, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2275 W Jefferson Ave, Trenton, MI 48183 Phone: 734-675-7210 Fax: 734-675-3023 | |
Dr. Salvatore John Finazzo, D.O Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1651 Kingsway Ct, Ste. A, Trenton, MI 48183 Phone: 734-671-2110 Fax: 734-671-5344 | |
Dr. Nicole Michelina Del Signore, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Dr. Katherine Grace Mackillop, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 508-974-5803 | |
Maryia Karniyenka, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Rebekah Sessoms, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5400 Fort St Ste 250, Trenton, MI 48183 Phone: 734-642-2480 |