| Bg Tricounty Neurology& Sleep Clinic Pc | |
|
31150 Hoover Rd Suite B Warren MI 48093-7618 | |
| (586) 983-3666 | |
| (248) 652-7906 |
| Full Name | Bg Tricounty Neurology& Sleep Clinic Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 31150 Hoover Rd, Warren, Michigan |
| Authorized Official Name and Position | Narayan P Verma (PRESIDENT) |
| Authorized Official Contact | 5869838011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bg Tricounty Neurology& Sleep Clinic Pc Po Box 548 Birmingham MI 48012-0548 Ph: (248) 652-7520 | Bg Tricounty Neurology& Sleep Clinic Pc 31150 Hoover Rd Suite B Warren MI 48093-7618 Ph: (586) 983-3666 |
| NPI Number | 1598802076 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 05/05/2020 |
| Certification Date | 05/05/2020 |
| Medicare PECOS PAC ID | 6709806714 |
|---|---|
| Medicare Enrollment ID | O20051205000635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598802076 | NPI | - | NPPES |
| 130E014130 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4892425 | Medicaid | MI | |
| 130E014130 | Other | MI | BLUE CARE NETWORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
| Provider Name | Narayan P Verma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083680235 PECOS PAC ID: 4880643949 Enrollment ID: I20051214000096 |
| Provider Name | Shaun M Jayakar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770747594 PECOS PAC ID: 5799849907 Enrollment ID: I20090203000607 |
| Provider Name | Arunima Verma Jayakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295987212 PECOS PAC ID: 8628219466 Enrollment ID: I20130722000056 |
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