| Seton Health Corporation Of Southeastern Michigan | |
|
28000 Dequindre Rd Revenue Cycle Department Warren MI 48092-2468 | |
| (248) 680-8000 | |
| (248) 292-3852 |
| Full Name | Seton Health Corporation Of Southeastern Michigan |
|---|---|
| Speciality | Family Medicine |
| Location | 28000 Dequindre Rd, Warren, Michigan |
| Authorized Official Name and Position | Robert Guha (VP FINANCE) |
| Authorized Official Contact | 2486808264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seton Health Corporation Of Southeastern Michigan Po Box 17496 Belfast ME 04915-4069 Ph: (248) 680-8000 | Seton Health Corporation Of Southeastern Michigan 28000 Dequindre Rd Revenue Cycle Department Warren MI 48092-2468 Ph: (248) 680-8000 |
| NPI Number | 1598177065 |
|---|---|
| Provider Enumeration Date | 06/02/2014 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Medicare PECOS PAC ID | 2567689540 |
|---|---|
| Medicare Enrollment ID | O20140814002590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598177065 | NPI | - | NPPES |
| Provider Name | Rameshbhai M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215998810 PECOS PAC ID: 3971401241 Enrollment ID: I20031223000456 |
| Provider Name | Satish R Mehta |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114960309 PECOS PAC ID: 7214821149 Enrollment ID: I20040217000027 |
| Provider Name | Paul A Cullis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285664680 PECOS PAC ID: 7113818451 Enrollment ID: I20040402000269 |
| Provider Name | Audrey Mullin Sim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881604577 PECOS PAC ID: 8022006402 Enrollment ID: I20040504001056 |
| Provider Name | Joyce M Blazejewski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508844200 PECOS PAC ID: 6608866934 Enrollment ID: I20040517001387 |
| Provider Name | Mohammed A Arsiwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750380408 PECOS PAC ID: 4789669292 Enrollment ID: I20040623000378 |
| Provider Name | Yiping Maggie Zeng Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568472637 PECOS PAC ID: 8325027592 Enrollment ID: I20040720000621 |
| Provider Name | Josephine P Dhar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740397546 PECOS PAC ID: 3577533231 Enrollment ID: I20040729000633 |
| Provider Name | Sarah S Guadalupe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427159599 PECOS PAC ID: 0648244087 Enrollment ID: I20040823000612 |
| Provider Name | Heidi L Rohloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679551006 PECOS PAC ID: 4183699986 Enrollment ID: I20040826000313 |
| Provider Name | Barret R Shaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417996075 PECOS PAC ID: 2769447713 Enrollment ID: I20041201000501 |
| Provider Name | Shiva J Maralani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497710982 PECOS PAC ID: 8426000415 Enrollment ID: I20050217000900 |
| Provider Name | Mona Khater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992763940 PECOS PAC ID: 1456389410 Enrollment ID: I20050801000237 |
| Provider Name | Lauri B Conroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023010360 PECOS PAC ID: 3375571060 Enrollment ID: I20050803000406 |
| Provider Name | Timothy L Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639270473 PECOS PAC ID: 2668486184 Enrollment ID: I20060203000208 |
| Provider Name | Behram F Irani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982643037 PECOS PAC ID: 3274541388 Enrollment ID: I20060331000333 |
| Provider Name | Basil Abdo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730121443 PECOS PAC ID: 2062415706 Enrollment ID: I20060817000488 |
| Provider Name | Nashwan Y Yousif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124042288 PECOS PAC ID: 9739183278 Enrollment ID: I20060914000182 |
| Provider Name | Chandrika Iyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306895065 PECOS PAC ID: 9537262464 Enrollment ID: I20070314000568 |
| Provider Name | Eiad A Kseibi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356363311 PECOS PAC ID: 9739284027 Enrollment ID: I20070416000104 |
| Provider Name | Mark T O'brien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255322509 PECOS PAC ID: 0042319964 Enrollment ID: I20070619000109 |
| Provider Name | Veena Panthangi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467571463 PECOS PAC ID: 7113028523 Enrollment ID: I20070728000064 |
| Provider Name | Azra Hakimi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073616173 PECOS PAC ID: 0941392963 Enrollment ID: I20070822001147 |
| Provider Name | Vijayakiran Kaza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851392625 PECOS PAC ID: 4587752522 Enrollment ID: I20071108000579 |
| Provider Name | Patricia A Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316116478 PECOS PAC ID: 5294810412 Enrollment ID: I20080312000587 |
| Provider Name | Bernard E Kole |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407991649 PECOS PAC ID: 7214000108 Enrollment ID: I20080725000348 |
| Provider Name | Zane Taysir Hammoud |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750496154 PECOS PAC ID: 9830145903 Enrollment ID: I20081111000472 |
| Provider Name | Ronald D Hertz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053304816 PECOS PAC ID: 9638239288 Enrollment ID: I20081128000104 |
| Provider Name | Ning J Etchill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720246630 PECOS PAC ID: 5890856934 Enrollment ID: I20081208000069 |
| Provider Name | Hawa Althea Hoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447406392 PECOS PAC ID: 4880759711 Enrollment ID: I20090210000328 |
| Provider Name | Maxim Yankelevich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508011776 PECOS PAC ID: 4284799800 Enrollment ID: I20090216000254 |
| Provider Name | Rosalind S L Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417108812 PECOS PAC ID: 0446307755 Enrollment ID: I20090402000176 |
| Provider Name | Angela C Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750514485 PECOS PAC ID: 9133266059 Enrollment ID: I20091027000145 |
| Provider Name | Elenn E Parrish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831422286 PECOS PAC ID: 2062550924 Enrollment ID: I20091113000032 |
| Provider Name | Jeffrey L Lukas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346239365 PECOS PAC ID: 1759423411 Enrollment ID: I20100119000783 |
| Provider Name | Mary E Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306838834 PECOS PAC ID: 0446393029 Enrollment ID: I20100204000287 |
| Provider Name | Kathleen Fulgenzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588656102 PECOS PAC ID: 3779626353 Enrollment ID: I20100204000321 |
| Provider Name | Sanjukta Sridharan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083823728 PECOS PAC ID: 0042354243 Enrollment ID: I20100225000121 |
| Provider Name | Margaret S Keehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861729766 PECOS PAC ID: 8224164017 Enrollment ID: I20100331000630 |
| Provider Name | Cheryl A Sobocinski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699711127 PECOS PAC ID: 7315077971 Enrollment ID: I20100609000363 |
| Provider Name | Steven D Mcgraw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619910106 PECOS PAC ID: 3375582646 Enrollment ID: I20100723000814 |
| Provider Name | Gary W Pilchak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043267255 PECOS PAC ID: 0244142883 Enrollment ID: I20100929001049 |
| Provider Name | Liza Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508915562 PECOS PAC ID: 7911191499 Enrollment ID: I20101028000786 |
| Provider Name | Syed T Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326097627 PECOS PAC ID: 0547270100 Enrollment ID: I20110427000729 |
| Provider Name | Jamie E Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518231232 PECOS PAC ID: 1355501016 Enrollment ID: I20120404000705 |
| Provider Name | Cecelia Zimba Kitakufe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487883104 PECOS PAC ID: 0547419236 Enrollment ID: I20121015000127 |
| Provider Name | Wafa Barkho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033349626 PECOS PAC ID: 8022268325 Enrollment ID: I20121023000184 |
| Provider Name | Enovwo Emekpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720323413 PECOS PAC ID: 9830343334 Enrollment ID: I20130211000183 |
| Provider Name | Margaret Clare Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124306212 PECOS PAC ID: 0345495685 Enrollment ID: I20130312000502 |
| Provider Name | Jennifer C Rohrborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598091704 PECOS PAC ID: 9234374018 Enrollment ID: I20130327000231 |
| Provider Name | Zainab Jishi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417382367 PECOS PAC ID: 5294967204 Enrollment ID: I20140404001789 |
| Provider Name | Sharon A Atwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922422641 PECOS PAC ID: 1254563844 Enrollment ID: I20140414001450 |
| Provider Name | Crecendra M Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952599045 PECOS PAC ID: 6103049515 Enrollment ID: I20140603000724 |
| Provider Name | Randall R Colvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306133863 PECOS PAC ID: 8325263361 Enrollment ID: I20140707000591 |
| Provider Name | Antonia M Jerkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316234792 PECOS PAC ID: 0941425565 Enrollment ID: I20140715001226 |
| Provider Name | Carolyn Y Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497182885 PECOS PAC ID: 2769601087 Enrollment ID: I20140919000207 |
| Provider Name | Mark Michaels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740546837 PECOS PAC ID: 5193945459 Enrollment ID: I20141008001842 |
| Provider Name | Steven Rector |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508157769 PECOS PAC ID: 9436379724 Enrollment ID: I20141009000384 |
| Provider Name | Thomas T Kizy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457637506 PECOS PAC ID: 1951522499 Enrollment ID: I20141024002003 |
| Provider Name | Margaret M Marth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740686534 PECOS PAC ID: 0840513974 Enrollment ID: I20141222002218 |
| Provider Name | Bhavim Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871886721 PECOS PAC ID: 0345560108 Enrollment ID: I20150518001910 |
| Provider Name | Anna M Farhat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710241856 PECOS PAC ID: 4981917937 Enrollment ID: I20150720001750 |
| Provider Name | Rebecca L Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467832204 PECOS PAC ID: 4587978721 Enrollment ID: I20150803000272 |
| Provider Name | Vanessa L Harning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922475086 PECOS PAC ID: 7810205234 Enrollment ID: I20151006000333 |
| Provider Name | Nicholas D Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548514904 PECOS PAC ID: 0547579203 Enrollment ID: I20151020000368 |
| Provider Name | Andrea L Dalman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154601714 PECOS PAC ID: 5294045241 Enrollment ID: I20151104000858 |
| Provider Name | Eileen Kosztowny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881061299 PECOS PAC ID: 5698076156 Enrollment ID: I20151229001360 |
| Provider Name | Sheral B Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023493988 PECOS PAC ID: 0345545778 Enrollment ID: I20160223002749 |
| Provider Name | Ryan J Pradko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841605888 PECOS PAC ID: 4385957224 Enrollment ID: I20160502001453 |
| Provider Name | Jennifer Kulinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033595749 PECOS PAC ID: 9537468137 Enrollment ID: I20160503002580 |
| Provider Name | Bashar J Yalldo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891133575 PECOS PAC ID: 2264736271 Enrollment ID: I20160628002118 |
| Provider Name | Jennifer Alice Cockels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245691914 PECOS PAC ID: 7911290556 Enrollment ID: I20161010000900 |
| Provider Name | Bettina Joi Mcgraw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164785358 PECOS PAC ID: 9931400835 Enrollment ID: I20170103000714 |
| Provider Name | Kristina M Banaszewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750825881 PECOS PAC ID: 0345522959 Enrollment ID: I20170116000015 |
| Provider Name | Aimee S Kessel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861600298 PECOS PAC ID: 9638452105 Enrollment ID: I20170207001089 |
| Provider Name | Nicole Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841420346 PECOS PAC ID: 3173806593 Enrollment ID: I20170210000059 |
| Provider Name | Rebekah Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568691897 PECOS PAC ID: 0840575379 Enrollment ID: I20170324002030 |
| Provider Name | Sarah M Castronova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669921037 PECOS PAC ID: 2264718527 Enrollment ID: I20170421000437 |
| Provider Name | Kathryn Irene Idzikowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578004941 PECOS PAC ID: 5890062954 Enrollment ID: I20170608002249 |
| Provider Name | Josef J Kotermanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265987879 PECOS PAC ID: 2567732159 Enrollment ID: I20170713002935 |
| Provider Name | Christina Kulman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457872541 PECOS PAC ID: 9537439450 Enrollment ID: I20170725002142 |
| Provider Name | Grace Q Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952837403 PECOS PAC ID: 0244501674 Enrollment ID: I20170803002350 |
| Provider Name | Vanessa Phan-dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952821035 PECOS PAC ID: 2264703610 Enrollment ID: I20170803003156 |
| Provider Name | Sean Anthony Cassleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720404775 PECOS PAC ID: 8325322928 Enrollment ID: I20170810003033 |
| Provider Name | Nisha Chawla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841604618 PECOS PAC ID: 8628294667 Enrollment ID: I20170912001784 |
| Provider Name | Alan Sabah Putrus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366784001 PECOS PAC ID: 3274844329 Enrollment ID: I20170922002819 |
| Provider Name | Amy Lynn Squair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386160539 PECOS PAC ID: 0941575278 Enrollment ID: I20171012000370 |
| Provider Name | Lisa Renee Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174920326 PECOS PAC ID: 9335405653 Enrollment ID: I20171102000382 |
| Provider Name | Gray Ndive Akoegbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043659840 PECOS PAC ID: 0941422992 Enrollment ID: I20171107001253 |
| Provider Name | Patricia M Vassallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194122937 PECOS PAC ID: 2668738220 Enrollment ID: I20171114003353 |
| Provider Name | Kasandra L Wylin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144748351 PECOS PAC ID: 1254415755 Enrollment ID: I20171121003189 |
| Provider Name | Kate F Webber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023047594 PECOS PAC ID: 8729346390 Enrollment ID: I20180103002685 |
| Provider Name | Jacita Greve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972053098 PECOS PAC ID: 8123387222 Enrollment ID: I20180118000527 |
| Provider Name | Nicole M Pettibone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679969752 PECOS PAC ID: 0244590578 Enrollment ID: I20180207000465 |
| Provider Name | Stephanie Y Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912414756 PECOS PAC ID: 7911260484 Enrollment ID: I20180416000184 |
| Provider Name | Caitlyn M Witek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033547690 PECOS PAC ID: 0446513709 Enrollment ID: I20180419000523 |
| Provider Name | Quinnkeela L Nash-el |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295249951 PECOS PAC ID: 9638432909 Enrollment ID: I20180419001058 |
| Provider Name | Tiffany A Chritz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750760070 PECOS PAC ID: 5496019978 Enrollment ID: I20180509001194 |
| Provider Name | Autumn A Ambroday |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558677971 PECOS PAC ID: 9830414531 Enrollment ID: I20180511000255 |
| Provider Name | Zev J Alexander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952568644 PECOS PAC ID: 8921152406 Enrollment ID: I20180517002773 |
| Provider Name | Ethan Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982191169 PECOS PAC ID: 0143585869 Enrollment ID: I20180530002581 |
| Provider Name | Kristel Carrington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487914404 PECOS PAC ID: 3678794997 Enrollment ID: I20180605002319 |
| Provider Name | Sabrina Vitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699276295 PECOS PAC ID: 6507111523 Enrollment ID: I20180615000955 |
| Provider Name | Indea L May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881183002 PECOS PAC ID: 0941555973 Enrollment ID: I20180615001045 |
| Provider Name | Mary A Booth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235268012 PECOS PAC ID: 6709079866 Enrollment ID: I20180618003403 |
| Provider Name | Emily K Wolfrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871083683 PECOS PAC ID: 5597010207 Enrollment ID: I20180621000787 |
| Provider Name | Renee S Hoelzeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326565789 PECOS PAC ID: 4486900834 Enrollment ID: I20180627003000 |
| Provider Name | Tara Pittman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225493745 PECOS PAC ID: 2961759063 Enrollment ID: I20180720000622 |
| Provider Name | Jessica L Heaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083193783 PECOS PAC ID: 2163773698 Enrollment ID: I20180924000846 |
| Provider Name | Colleen M Kiehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710420534 PECOS PAC ID: 6204190531 Enrollment ID: I20181009000001 |
| Provider Name | Nicole M Trudeau-klimek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023597168 PECOS PAC ID: 1456603026 Enrollment ID: I20181009002321 |
| Provider Name | Maged W Botros |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619102738 PECOS PAC ID: 7113191974 Enrollment ID: I20181105002724 |
| Provider Name | Sarah M Hagle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235544081 PECOS PAC ID: 4183978299 Enrollment ID: I20181108000212 |
| Provider Name | Yusef Canaan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881963452 PECOS PAC ID: 9739493248 Enrollment ID: I20181127000261 |
| Provider Name | Francisco J Fletes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811284227 PECOS PAC ID: 7911243514 Enrollment ID: I20190117002320 |
| Provider Name | Rose Kimpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023591484 PECOS PAC ID: 8123365756 Enrollment ID: I20190121001134 |
| Provider Name | Bergina B Isbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861577553 PECOS PAC ID: 2062419989 Enrollment ID: I20190128001026 |
| Provider Name | Meghan J Chytry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972062776 PECOS PAC ID: 3577804616 Enrollment ID: I20190417002914 |
| Provider Name | Alison Yousif |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356905962 PECOS PAC ID: 8022344597 Enrollment ID: I20190723000961 |
| Provider Name | Courtney M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760971691 PECOS PAC ID: 8123357258 Enrollment ID: I20190913002968 |
| Provider Name | Nicole Marshke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881101210 PECOS PAC ID: 9537499710 Enrollment ID: I20191002000107 |
| Provider Name | Tammy L Check |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942868286 PECOS PAC ID: 3072845387 Enrollment ID: I20191105002193 |
| Provider Name | Lauren B Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528601887 PECOS PAC ID: 2567894710 Enrollment ID: I20191109000134 |
| Provider Name | Heidi T Woessner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225272941 PECOS PAC ID: 0749428928 Enrollment ID: I20200116001294 |
| Provider Name | Lawrence G Seiden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295709772 PECOS PAC ID: 5698718369 Enrollment ID: I20200122003134 |
| Provider Name | Jeffrey English |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508856790 PECOS PAC ID: 3375681463 Enrollment ID: I20200204000900 |
| Provider Name | Kgothatso White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053721076 PECOS PAC ID: 3678900248 Enrollment ID: I20200219002810 |
| Provider Name | Krishna J Goli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932384427 PECOS PAC ID: 7416033477 Enrollment ID: I20200311002223 |
| Provider Name | Anna Katema |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891051231 PECOS PAC ID: 7315205259 Enrollment ID: I20200311002232 |
| Provider Name | Joash T Lazarus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720374754 PECOS PAC ID: 1254652829 Enrollment ID: I20200311002266 |
| Provider Name | Lashawnda Gayden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417388174 PECOS PAC ID: 6800224486 Enrollment ID: I20200313000209 |
| Provider Name | Ellis V Hedaya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528032596 PECOS PAC ID: 9638258593 Enrollment ID: I20200317002766 |
| Provider Name | Andrei I Serbanescu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528032703 PECOS PAC ID: 5698854552 Enrollment ID: I20200321000596 |
| Provider Name | Gathline Etienne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366602005 PECOS PAC ID: 2961658562 Enrollment ID: I20200325001588 |
| Provider Name | Richard Mikilitus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760461305 PECOS PAC ID: 5092831552 Enrollment ID: I20200604003088 |
| Provider Name | Tia M Aryal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265694913 PECOS PAC ID: 0143463513 Enrollment ID: I20200606000107 |
| Provider Name | Douglas Stuart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548251572 PECOS PAC ID: 5890738595 Enrollment ID: I20200713000403 |
| Provider Name | Mitzi Joi Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356461248 PECOS PAC ID: 3476624669 Enrollment ID: I20200730002064 |
| Provider Name | Sherita Inez Brownlee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023440708 PECOS PAC ID: 3375955529 Enrollment ID: I20201214000889 |
| Provider Name | Michael Bousamra |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669411781 PECOS PAC ID: 8628975885 Enrollment ID: I20201217000213 |
| Provider Name | Jessica Kamyszek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649667205 PECOS PAC ID: 7214343672 Enrollment ID: I20210309002615 |
| Provider Name | Monica Joanna Petela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831781632 PECOS PAC ID: 9032525449 Enrollment ID: I20210310000784 |
| Provider Name | Sallie A Amalfitano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902258106 PECOS PAC ID: 5193123735 Enrollment ID: I20211012001203 |
| Provider Name | Ryan Roland Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730848458 PECOS PAC ID: 8123419819 Enrollment ID: I20220107001080 |
| Provider Name | Berthann Mayree Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780343277 PECOS PAC ID: 1759778772 Enrollment ID: I20220421001596 |
Brighter Days Ahead Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23905 Warner Ave, Warren, MI 48091 Phone: 586-823-6322 | |
Neurocognitive Center Of Michigan Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28800 Ryan Rd, Suite 300, Warren, MI 48092 Phone: 586-582-0500 Fax: 586-620-8113 | |
Auburn Neurology Associates Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27101 Schoenherr Ave, Ste 200, Warren, MI 48088 Phone: 734-459-7444 Fax: 734-459-7755 | |
New Oakland Child-adolescent And Family Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8150 E 13 Mile Rd, Warren, MI 48093 Phone: 586-825-9700 Fax: 586-825-9701 | |
Behavioral Therapists Billin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4050 E 12 Mile Rd, Warren, MI 48092 Phone: 586-261-2166 Fax: 586-261-3628 | |
International Therapy Solutions, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11480 E. 13 Mile Rd, Warren, MI 48093 Phone: 586-216-9253 Fax: 586-232-9127 | |
Comprehensive Counseling Center Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11885 E 12 Mile Rd, Ste. 201a, Warren, MI 48093 Phone: 586-558-6000 Fax: 586-558-6679 |