| Npscm Medical Holdings Llc | |
|
1245 N Main St Ste B Lapeer MI 48446-1346 | |
| (269) 369-6596 | |
| (888) 228-3870 |
| Full Name | Npscm Medical Holdings Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1245 N Main St Ste B, Lapeer, Michigan |
| Authorized Official Name and Position | David Walter Kocenda (NURSE PRACTITIONER) |
| Authorized Official Contact | 8882291777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Npscm Medical Holdings Llc 1245 N Main St Ste B Lapeer MI 48446-1346 Ph: (888) 229-1777 | Npscm Medical Holdings Llc 1245 N Main St Ste B Lapeer MI 48446-1346 Ph: (269) 369-6596 |
| NPI Number | 1679340772 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Medicare PECOS PAC ID | 8022461144 |
|---|---|
| Medicare Enrollment ID | O20240125000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679340772 | NPI | - | NPPES |
| Provider Name | David Kocenda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124487665 PECOS PAC ID: 5496052979 Enrollment ID: I20160627001580 |
| Provider Name | Ramiro Antonio Perez De La Torre |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689909343 PECOS PAC ID: 6507271202 Enrollment ID: I20210210001174 |
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