| Dr Rona Lita Wadle, DO | |
|
33722 Woodward Ave, Birmingham, MI 48009-0912 | |
| (248) 919-4900 | |
| (248) 919-4901 |
| Full Name | Dr Rona Lita Wadle |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 33722 Woodward Ave, Birmingham, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649227315 | NPI | - | NPPES |
| 114412960 | Medicaid | MI | |
| 114412950 | Medicaid | MI | |
| RW013830 | Other | MI | BC/BS OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 5101013830 (Michigan) | Primary |
| Entity Name | Independent Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
| Entity Name | Meadowbrook Urgent Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184843898 PECOS PAC ID: 9436245040 Enrollment ID: O20071012000163 |
| Entity Name | Somerset Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124461702 PECOS PAC ID: 8628203254 Enrollment ID: O20131106001221 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rona Lita Wadle, DO 1309 Bird Ave, Birmingham, MI 48009-2049 Ph: (248) 644-4826 | Dr Rona Lita Wadle, DO 33722 Woodward Ave, Birmingham, MI 48009-0912 Ph: (248) 919-4900 |
Dr. Nicole Susser, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 298 S Old Woodward Ave, Birmingham, MI 48009 Phone: 248-792-5200 |