| Cailin Lashawn Mcdaniel, | |
|
14799 Dix Toledo Rd, Southgate, MI 48195-2507 | |
| (313) 492-7114 | |
| Not Available |
| Full Name | Cailin Lashawn Mcdaniel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 14799 Dix Toledo Rd, Southgate, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427806926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704327170 (Michigan) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 4704327170 (Michigan) | Primary |
| Entity Name | Team Mental Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588855100 PECOS PAC ID: 2264451830 Enrollment ID: O20081030000384 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Mailing Address | Practice Location Address |
|---|---|
| Cailin Lashawn Mcdaniel, 14799 Dix Toledo Rd, Southgate, MI 48195-2507 Ph: (313) 492-7114 | Cailin Lashawn Mcdaniel, 14799 Dix Toledo Rd, Southgate, MI 48195-2507 Ph: (313) 492-7114 |
Scott Anthony Blackburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11275 Allen Rd, Southgate, MI 48195 Phone: 313-383-7071 Fax: 313-383-7194 | |
Mrs. Dana Lara Wolfe, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16525 Fort St, Southgate, MI 48195 Phone: 734-250-9529 | |
Margaret Diane Barden, APN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13667 Eureka Rd, Southgate, MI 48195 Phone: 734-530-6777 Fax: 734-468-1156 | |
Michelle Lorraine Pardee, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19275 Northline Rd, Southgate, MI 48195 Phone: 734-287-2076 Fax: 734-287-2731 | |
Marie Elizabeth Manteuffel, RN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16258 Fort St, Southgate, MI 48195 Phone: 734-250-9062 Fax: 734-250-9072 | |
Kaitlin Dughlas, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15350 Trenton Rd, Southgate, MI 48195 Phone: 734-283-4616 | |
Mrs. Deborah Jane Collier-barstad, M.S.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15255 Northline Rd, Southgate, MI 48195 Phone: 734-285-3090 Fax: 734-285-3095 |