| Erica Marie Ellul, RN, MSN, AGACNP-BC | |
|
1537 Monroe St Ste 100, Dearborn, MI 48124-2842 | |
| (313) 359-2100 | |
| (313) 359-2104 |
| Full Name | Erica Marie Ellul |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1537 Monroe St Ste 100, Dearborn, 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 |
|---|---|---|---|
| 1720502594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 4704242320 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Beaumont Hospital - Taylor | Taylor, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nephron Clinic Pc | 4587833413 | 6 |
| Entity Name | Nephron Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104118116 PECOS PAC ID: 4587833413 Enrollment ID: O20110811000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Marie Ellul, RN, MSN, AGACNP-BC 41672 W Village Green Blvd Apt 205, Canton, MI 48187-3875 Ph: (313) 613-1657 | Erica Marie Ellul, RN, MSN, AGACNP-BC 1537 Monroe St Ste 100, Dearborn, MI 48124-2842 Ph: (313) 359-2100 |
Robin Wawersik, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 207, Dearborn, MI 48124 Phone: 313-271-5565 Fax: 313-271-1053 | |
Malak Elsabbagh, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4700 Greenfield Rd Ste 2e, Dearborn, MI 48126 Phone: 313-740-1111 | |
Sarah Naji-nehme, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7863 W Morrow Cir, Dearborn, MI 48126 Phone: 313-445-5271 | |
Rana Mazraani, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15400 Michigan Ave, Dearborn, MI 48126 Phone: 313-584-3359 | |
Dr. Fatmeh M Barada, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080 | |
Ibtihal Alghanimi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080 | |
Katherine Anne Repp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 410, Dearborn, MI 48124 Phone: 313-982-5430 |