| Hospital Psychiarty Pllc | |
|
3353 Silverwood Dr Saginaw MI 48603-2180 | |
| (989) 493-9001 | |
| Not Available |
| Full Name | Hospital Psychiarty Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3353 Silverwood Dr, Saginaw, Michigan |
| Authorized Official Name and Position | Ali Ibrahim (OWNER) |
| Authorized Official Contact | 9899960566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Psychiarty Pllc 3785 Bay Rd Saginaw MI 48603-2433 Ph: (989) 791-2455 | Hospital Psychiarty Pllc 3353 Silverwood Dr Saginaw MI 48603-2180 Ph: (989) 493-9001 |
| NPI Number | 1144590290 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 06/28/2018 |
| Medicare PECOS PAC ID | 0547424186 |
|---|---|
| Medicare Enrollment ID | O20120612000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144590290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301083191 (Michigan) | Primary |
| Provider Name | Ali E Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710089388 PECOS PAC ID: 1658349212 Enrollment ID: I20040921001007 |
| Provider Name | Mary Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508205451 PECOS PAC ID: 6103050414 Enrollment ID: I20130927000474 |
| Provider Name | Trisha Taylor Mclemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568850196 PECOS PAC ID: 3870818552 Enrollment ID: I20150223000238 |
| Provider Name | Amber Marie Fritzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235770819 PECOS PAC ID: 4587996426 Enrollment ID: I20191028000214 |
| Provider Name | Cynthia Lynn Mai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720606098 PECOS PAC ID: 7416371349 Enrollment ID: I20200723003042 |
| Provider Name | Melissa Ann Duron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588238455 PECOS PAC ID: 5890194039 Enrollment ID: I20210520001901 |
| Provider Name | Stacy Renae Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255046249 PECOS PAC ID: 1557733987 Enrollment ID: I20230214000766 |
| Provider Name | Melissa Wazny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114707445 PECOS PAC ID: 4486009958 Enrollment ID: I20231018003392 |
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