| Harvey Bouru, | |
|
1770 Fort St, Lincoln Park, MI 48146-1904 | |
| (313) 753-0016 | |
| Not Available |
| Full Name | Harvey Bouru |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 1770 Fort St, Lincoln Park, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518582485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601009896 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novahealth Urgent Care Of Southfield | 3678933520 | 2 |
| Entity Name | Wyandotte Urgent Care Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316467384 PECOS PAC ID: 4183996150 Enrollment ID: O20170825001715 |
| Entity Name | Get Well Urgent Care Downriver PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578035317 PECOS PAC ID: 5193061992 Enrollment ID: O20190116001070 |
| Entity Name | Southshore Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356804710 PECOS PAC ID: 5698009777 Enrollment ID: O20190624001434 |
| Entity Name | Novahealth Urgent Care of Southfield |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841975620 PECOS PAC ID: 3678933520 Enrollment ID: O20230724002790 |
| Mailing Address | Practice Location Address |
|---|---|
| Harvey Bouru, 5346 Clippert St, Dearborn Heights, MI 48125-2740 Ph: (313) 753-0016 | Harvey Bouru, 1770 Fort St, Lincoln Park, MI 48146-1904 Ph: (313) 753-0016 |
Emily Niemi, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2176 Fort St, Lincoln Park, MI 48146 Phone: 313-768-3290 Fax: 877-409-3290 |
Amena Falah Al-khafaji, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1158 Fort St, Lincoln Park, MI 48146 Phone: 313-925-3325 |
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 |