| Emily Niemi, | |
|
2176 Fort St, Lincoln Park, MI 48146-2405 | |
| (313) 768-3290 | |
| (877) 409-3290 |
| Full Name | Emily Niemi |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 2176 Fort St, Lincoln Park, 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 |
|---|---|---|---|
| 1386395895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601011420 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bethesda Home Health | Farmington hills, MI | Home health agency |
| Global Home Care | Troy, MI | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifesmart Medical Center Pllc | 5193263143 | 3 |
| Entity Name | Lifesmart Medical Center PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477391274 PECOS PAC ID: 5193263143 Enrollment ID: O20240821002498 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Niemi, 903 E Sunnybrook Dr, Royal Oak, MI 48073-2791 Ph: Not Available | Emily Niemi, 2176 Fort St, Lincoln Park, MI 48146-2405 Ph: (313) 768-3290 |
Harvey Bouru, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1770 Fort St, Lincoln Park, MI 48146 Phone: 313-753-0016 |
Salahuddin Mohamed, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1158 Fort St, Lincoln Park, MI 48146 Phone: 313-925-3325 Fax: 313-284-2268 |
Isabel Gamez-murphy, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3022 Dix Hwy, Lincoln Park, MI 48146 Phone: 313-908-9699 |