Myrtice E Macon, MD is a
Pain Medicine - Interventional Pain Medicine physician based in Grosse Pointe, Michigan. Myrtice E Macon is licensed to practice in Michigan (license number 4301044291) and her current practice location is 468 Cadieux Rd, Grosse Pointe, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 343-1000.
NPI number for Myrtice E Macon is 1336160225 and her current mailing address is 468 Cadieux Rd, Grosse Pointe, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336160225.
Physician's Profile
| Full Name | Myrtice E Macon |
|---|
| Gender | Female |
|---|
| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 468 Cadieux Rd, Grosse Pointe, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336160225
- Provider Enumeration Date: 07/23/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Myrtice E Macon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336160225 | NPI | - | NPPES |
| 0505010782 | Other | MI | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 4301044291 (Michigan) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301044291 (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. Myrtice E Macon 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 |
Myrtice E Macon, MD 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 Ph: (313) 343-1000 | Myrtice E Macon, MD 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 Ph: (313) 343-1000 |
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