| Elizabeth Marian Larive, DO | |
|
27351 Dequindre Rd, Madison Heights, MI 48071-3487 | |
| (248) 967-7795 | |
| (248) 967-7794 |
| Full Name | Elizabeth Marian Larive |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 27351 Dequindre Rd, Madison Heights, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780946335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101020043 (Michigan) | Primary |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Entity Name | Emergency Department Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466 |
| Entity Name | Observation Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Marian Larive, DO 27351 Dequindre Rd, Madison Heights, MI 48071-3487 Ph: (248) 967-7795 | Elizabeth Marian Larive, DO 27351 Dequindre Rd, Madison Heights, MI 48071-3487 Ph: (248) 967-7795 |
Elizabeth Ann Marcuz, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7000 | |
Kimberly F Heller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7661 | |
Sergey Tsekhanov, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7795 Fax: 248-967-7794 | |
Matthew Boutorwick, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7795 Fax: 248-967-7794 | |
Jenna Wonsowicz, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7661 Fax: 248-967-7876 | |
Gino Shwkat Etta, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7661 Fax: 248-967-7876 | |
Alison Debra-ann Bracken, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7795 Fax: 248-967-7794 |