Dr Craig J Everingham, DO is a
Family Medicine physician based in Romulus, Michigan. Dr Craig J Everingham is licensed to practice in Michigan (license number 381898373) and his current practice location is 12100 S Huron River Dr, Romulus, Michigan. He can be reached at his office (for appointments etc.) via phone at
(734) 941-1070.
NPI number for Dr Craig J Everingham is 1891796371 and his current mailing address is 26901 Beaumont Blvd Ste 3d, Southfield, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891796371.
Physician's Profile
| Full Name | Dr Craig J Everingham |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 12100 S Huron River Dr, Romulus, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891796371
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 10/22/2020
Medical Identifiers
Medical identifiers for Dr Craig J Everingham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891796371 | NPI | - | NPPES |
| 5820103 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1290362 TYPE 11 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 381898373 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Craig J Everingham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Craig J Everingham, DO
26901 Beaumont Blvd Ste 3d,
Southfield, MI 48033-3849
Ph: (947) 522-1863 | Dr Craig J Everingham, DO
12100 S Huron River Dr,
Romulus, MI 48174-1119
Ph: (734) 941-1070 |
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