| Bernadette Angeles Md, Pc | |
|
42450 W 12 Mile Rd Suite 315 Novi MI 48377-3013 | |
| (248) 513-4100 | |
| (248) 513-4105 |
| Full Name | Bernadette Angeles Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 42450 W 12 Mile Rd, Novi, Michigan |
| Authorized Official Name and Position | Bernadette Lourdes Angeles (PRESIDENT) |
| Authorized Official Contact | 3135955215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernadette Angeles Md, Pc 21723 Garrison St Dearborn MI 48124-2368 Ph: (313) 595-5215 | Bernadette Angeles Md, Pc 42450 W 12 Mile Rd Suite 315 Novi MI 48377-3013 Ph: (248) 513-4100 |
| NPI Number | 1609219690 |
|---|---|
| Provider Enumeration Date | 04/09/2013 |
| Last Update Date | 04/09/2013 |
| Medicare PECOS PAC ID | 1850538125 |
|---|---|
| Medicare Enrollment ID | O20130503000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609219690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301074466 (Michigan) | Primary |
| Provider Name | Bernadette L Angeles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093747149 PECOS PAC ID: 2567465925 Enrollment ID: I20060824000515 |
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