| Emily Anne Wieczerza, FNP-C | |
|
3131 E 12 Mile Rd, Warren, MI 48092-2448 | |
| (586) 558-8765 | |
| (586) 558-0147 |
| Full Name | Emily Anne Wieczerza |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3131 E 12 Mile Rd, Warren, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548644321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704272515 (Michigan) | Primary |
| Entity Name | Henry Ford Health System-school Based Health Initiative |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104010578 PECOS PAC ID: 3072875517 Enrollment ID: O20180322000407 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Anne Wieczerza, FNP-C 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806 | Emily Anne Wieczerza, FNP-C 3131 E 12 Mile Rd, Warren, MI 48092-2448 Ph: (586) 558-8765 |
Sara Elliott, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8150 Old 13 Mile Rd, Warren, MI 48093 Phone: 800-395-3223 Fax: 248-620-6405 |
Rowena Callo Teodoro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27560 Hoover Rd., Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400 |
Mrs. Lauren Ashley Zipay, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000 |
Olga Dmitryuk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11480 E 13 Mile Rd, Warren, MI 48093 Phone: 586-216-9253 |
Melanie A Rogus, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 30713 Schoenherr Rd, Warren, MI 48088 Phone: 586-284-2643 Fax: 586-265-2170 |
Shawn Hillis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30589 Saint Onge Cir, Warren, MI 48088 Phone: 586-439-8799 |
Alexander Cole-selvaggio, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27101 Schoenherr Rd, Warren, MI 48088 Phone: 586-758-5800 Fax: 586-758-5841 |