Dr Sharon Blackshire-tubie, FNP-BC is a
Nurse Practitioner - Primary Care physician based in Southfield, Michigan. Dr Sharon Blackshire-tubie is licensed to practice in Michigan (license number 4704242202) and her current practice location is 20755 Greenfield Rd, #203, Southfield, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 395-2206.
NPI number for Dr Sharon Blackshire-tubie is 1245764737 and her current mailing address is 20755 Greenfield Rd, #203, Southfield, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245764737.
Physician's Profile
| Full Name | Dr Sharon Blackshire-tubie |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 20755 Greenfield Rd, Southfield, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245764737
- Provider Enumeration Date: 04/12/2017
- Last Update Date: 03/09/2022
Medical Identifiers
Medical identifiers for Dr Sharon Blackshire-tubie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245764737 | NPI | - | NPPES |
| 4341231 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RN0300X | Internal Medicine - Nephrology | 4704242202 (Michigan) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 4704242202 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704242202 (Michigan) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 4704242202 (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 Sharon Blackshire-tubie 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 Sharon Blackshire-tubie, FNP-BC
20755 Greenfield Rd, #203,
Southfield, MI 48075-5403
Ph: (248) 395-2206 | Dr Sharon Blackshire-tubie, FNP-BC
20755 Greenfield Rd, #203,
Southfield, MI 48075-5403
Ph: (248) 395-2206 |
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