| Shauna Harris, | |
| 
					44555 Woodward Ave Ste 404, Pontiac, MI 48341-5036  | |
| (248) 858-6762 | |
| Not Available | 
| Full Name | Shauna Harris | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine | 
| Location | 44555 Woodward Ave Ste 404, Pontiac, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1588051221 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 291764445 (New York) | Secondary | 
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 4301119080 (Michigan) | Primary | 
| Entity Name | Sjmh Medical Practice-smhc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346284684 PECOS PAC ID: 8628965175 Enrollment ID: O20040301000770  | 
| Entity Name | University Physician Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shauna Harris, 24 Frank Lloyd Wright Dr Ste J2000, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766  | Shauna Harris, 44555 Woodward Ave Ste 404, Pontiac, MI 48341-5036 Ph: (248) 858-6762  | 
Julie Nguyen, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6272  | |
Dr. Nikki Ann Reyes Medina, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3231  | |
Dr. Michael L Hicks, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, 202, Pontiac, MI 48341 Phone: 248-858-2270 Fax: 248-335-6171  | |
Wahib Shaker, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 44428 Woodward Ave, Suite 104, Pontiac, MI 48341 Phone: 248-858-6272 Fax: 248-858-6279  | |
Samantha Lynn Tremmel,  Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave Dept H23, Pontiac, MI 48341 Phone: 248-858-3231 Fax: 248-858-6279  | |
Claudia Kassouf, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Avenue, Graduate Medical Education Dept, Pontiac, MI 48341 Phone: 248-858-3231  | |
Katherine Ackerman, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3231  |