| Deidre Matthews, | |
|
21371 Ridgedale St, Oak Park, MI 48237-2707 | |
| (248) 943-8733 | |
| Not Available |
| Full Name | Deidre Matthews |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 21371 Ridgedale St, Oak Park, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568962876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704237355 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704237355 (Michigan) | Primary |
| Entity Name | Vpa PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669091864 PECOS PAC ID: 9234041948 Enrollment ID: O20031103000102 |
| Entity Name | Transitional Care Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174976807 PECOS PAC ID: 6709165954 Enrollment ID: O20161111000718 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Deidre Matthews, 21371 Ridgedale St, Oak Park, MI 48237-2707 Ph: (248) 943-8733 | Deidre Matthews, 21371 Ridgedale St, Oak Park, MI 48237-2707 Ph: (248) 943-8733 |
Tamika Idell Buford, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10350 W 9 Mile Rd, Oak Park, MI 48237 Phone: 248-569-7550 |
Lauren Ann Boury, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20770 Greenfield Rd, Oak Park, MI 48237 Phone: 248-967-0026 |
Ms. Deniene King, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23300 Greenfield Rd, #203, Oak Park, MI 48237 Phone: 248-968-1550 |
Lashonda Mccollum, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25900 Greenfield Rd Ste 140, Oak Park, MI 48237 Phone: 586-353-5969 |
Ericka Ward, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13750 Vernon St, Oak Park, MI 48237 Phone: 313-629-5120 |
Megan Lynn Adriaens, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24543 Rensselaer St, Oak Park, MI 48237 Phone: 248-425-2223 |
Emlee Ann Metevia, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24260 Westhampton St, Oak Park, MI 48237 Phone: 313-574-7018 |