Gwendolyn Fields, | |
14799 Dix Toledo Rd, Southgate, MI 48195-2507 | |
(734) 324-8326 | |
Not Available |
Full Name | Gwendolyn Fields |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 17 Years |
Location | 14799 Dix Toledo Rd, Southgate, 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 |
---|---|---|---|
1992390157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704241900 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Team Mental Health Services Inc | 2264451830 | 28 |
Entity Name | Team Mental Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588855100 PECOS PAC ID: 2264451830 Enrollment ID: O20081030000384 |
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 |
Entity Name | Ch Mssp Services Mi Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609569169 PECOS PAC ID: 2961862800 Enrollment ID: O20230724002653 |
Mailing Address | Practice Location Address |
---|---|
Gwendolyn Fields, Po Box 24754, Detroit, MI 48224-0754 Ph: (313) 680-4094 | Gwendolyn Fields, 14799 Dix Toledo Rd, Southgate, MI 48195-2507 Ph: (734) 324-8326 |
Scott Anthony Blackburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15150 Fort St, Southgate, MI 48195 Phone: 734-282-4800 Fax: 734-282-9302 | |
Margaret Diane Barden, APN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13667 Eureka Rd, Southgate, MI 48195 Phone: 734-530-6777 Fax: 734-468-1156 | |
Michelle Lorraine Pardee, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19275 Northline Rd, Southgate, MI 48195 Phone: 734-287-2076 Fax: 734-287-2731 | |
Marie Elizabeth Manteuffel, RN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16258 Fort St, Southgate, MI 48195 Phone: 734-250-9062 Fax: 734-250-9072 | |
Kaitlin Dughlas, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15350 Trenton Rd, Southgate, MI 48195 Phone: 734-283-4616 | |
Mrs. Deborah Jane Collier-barstad, M.S.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15255 Northline Rd, Southgate, MI 48195 Phone: 734-285-3090 Fax: 734-285-3095 | |
Ms. Tina Adkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13346 Mark St, Southgate, MI 48195 Phone: 734-771-9232 |