| Emmaus Health Partners | |
|
24 Frank Lloyd Wright Dr Ste L2300 Ann Arbor MI 48105-9484 | |
| (734) 930-4020 | |
| (736) 769-8948 |
| Full Name | Emmaus Health Partners |
|---|---|
| Speciality | Clinic/Center |
| Location | 24 Frank Lloyd Wright Dr Ste L2300, Ann Arbor, Michigan |
| Authorized Official Name and Position | Laura Aquinto (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7349304020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmaus Health Partners 24 Frank Lloyd Wright Dr Ste L2300 Ann Arbor MI 48105-9484 Ph: (734) 930-4020 | Emmaus Health Partners 24 Frank Lloyd Wright Dr Ste L2300 Ann Arbor MI 48105-9484 Ph: (734) 930-4020 |
| NPI Number | 1851870653 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Medicare PECOS PAC ID | 6204237365 |
|---|---|
| Medicare Enrollment ID | O20210625002576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851870653 | NPI | - | NPPES |
| Provider Name | Jennifer E Castillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902995863 PECOS PAC ID: 1254360332 Enrollment ID: I20050809000627 |
| Provider Name | Philip V Fleming |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609950435 PECOS PAC ID: 1456345602 Enrollment ID: I20051118000444 |
| Provider Name | Brian P Fedoronko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962410290 PECOS PAC ID: 3072532050 Enrollment ID: I20051118000512 |
| Provider Name | William Edward Chavey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366530867 PECOS PAC ID: 4486781846 Enrollment ID: I20100416000547 |
| Provider Name | Elizabeth A Sorenson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275667263 PECOS PAC ID: 5991973653 Enrollment ID: I20110722000694 |
| Provider Name | Josehns Silva Goncalves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902197239 PECOS PAC ID: 0648424887 Enrollment ID: I20131009000799 |
| Provider Name | Jennifer E Berkowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083935571 PECOS PAC ID: 5991935843 Enrollment ID: I20140220001488 |
| Provider Name | James R Tabeling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649721986 PECOS PAC ID: 6204114838 Enrollment ID: I20161101002490 |
| Provider Name | Linda G Marcarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588220933 PECOS PAC ID: 5698008977 Enrollment ID: I20190603000188 |
| Provider Name | Scott Waclawik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730546722 PECOS PAC ID: 9032466685 Enrollment ID: I20190701001766 |
| Provider Name | Stephanie Marie Tarnacki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619327368 PECOS PAC ID: 9931491032 Enrollment ID: I20190715001892 |
| Provider Name | Justin M Wilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093350290 PECOS PAC ID: 4981016631 Enrollment ID: I20201222000941 |
| Provider Name | Clare Marie Hall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609320795 PECOS PAC ID: 6608146345 Enrollment ID: I20210113000889 |
| Provider Name | Elisabeth Flanagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477292548 PECOS PAC ID: 2062873573 Enrollment ID: I20230801000708 |
| Provider Name | Hallie Elizabeth Gonzalez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275106148 PECOS PAC ID: 6305295189 Enrollment ID: I20231206001778 |
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