| Cienna Renee Supanich, NP | |
|
6777 W Maple Rd, West Bloomfield, MI 48322-3013 | |
| (313) 938-1442 | |
| Not Available |
| Full Name | Cienna Renee Supanich |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 6777 W Maple Rd, West Bloomfield, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811612690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 4704338438 (Michigan) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 4704338438 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Grand Rapids Hospitals Butterworth | Grand rapids, MI | Hospital |
| Henry Ford Health Providence Southfield Hospital | Southfield, MI | Hospital |
| Henry Ford Health West Bloomfield Hospital | West bloomfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spectrum Health Primary Care Partners | 4587568647 | 2283 |
| Henry Ford Health Providence Hospital | 6103738703 | 364 |
| Henry Ford Health System | 0547178311 | 2550 |
| Entity Name | Henry Ford Health Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
| Entity Name | Spectrum Health Primary Care Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341 |
| Mailing Address | Practice Location Address |
|---|---|
| Cienna Renee Supanich, NP 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: Not Available | Cienna Renee Supanich, NP 6777 W Maple Rd, West Bloomfield, MI 48322-3013 Ph: (313) 938-1442 |
Alyssa Morici, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7001 Orchard Lake Rd Ste 410c, West Bloomfield, MI 48322 Phone: 248-571-3600 |
Mr. Jonathan Aaron Koziel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6773 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-661-6100 |
Alexsandra Aquila Lachance, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Haggerty Rd Ste 2000, West Bloomfield, MI 48323 Phone: 248-624-9900 Fax: 248-896-5450 |
Sandra Oliver-mcneil, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6450 Farmington Rd Ste 200, West Bloomfield, MI 48322 Phone: 248-788-4278 Fax: 248-788-2001 |
Mrs. Dorota Meller Klenk, RN NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6777 W. Maple Rd, Dept Of Surgery, West Bloomfield, MI 48322 Phone: 248-910-0061 Fax: 248-849-3230 |
Lana Turbovsky, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7125 Orchard Lake Rd Ste 210, West Bloomfield, MI 48322 Phone: 248-757-2410 Fax: 248-757-2412 |
Nicole Kajy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5254 Waterview Dr, West Bloomfield, MI 48323 Phone: 248-683-2571 |