| James Darrell Demerest, MSBS, PA-C, RDN | |
|
1825 Hawthorne Rdg, Commerce Twp, MI 48390-3917 | |
| (734) 625-4572 | |
| Not Available |
| Full Name | James Darrell Demerest |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 1825 Hawthorne Rdg, Commerce Twp, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083231831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 133V00000X | Dietitian, Registered | 86150187 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Health Warren Hospital | Warren, MI | Hospital |
| Henry Ford Health -st John Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Procare Partners Health Pllc | 6507298841 | 14 |
| Entity Name | Emergency Physicians of Northwest Ohio, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043274418 PECOS PAC ID: 3375456478 Enrollment ID: O20190904001095 |
| Entity Name | Procare Partners Health PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528601952 PECOS PAC ID: 6507298841 Enrollment ID: O20191107001481 |
| Entity Name | Livewell Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043096688 PECOS PAC ID: 0042667529 Enrollment ID: O20231104000501 |
| Mailing Address | Practice Location Address |
|---|---|
| James Darrell Demerest, MSBS, PA-C, RDN 1825 Hawthorne Rdg, Commerce Twp, MI 48390-3917 Ph: (734) 625-4572 | James Darrell Demerest, MSBS, PA-C, RDN 1825 Hawthorne Rdg, Commerce Twp, MI 48390-3917 Ph: (734) 625-4572 |
Michael Shane Peer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5086 Parkgate Dr, Commerce Twp, MI 48382 Phone: 313-806-0039 |
Ms. Shannon R Stockwell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2655 E Oakley Park Rd Ste 202, Commerce Twp, MI 48390 Phone: 248-487-8222 Fax: 832-324-6942 |
Ms. Lynne Ivankovics, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8391 Commerce Rd, Suite 101, Commerce Twp, MI 48382 Phone: 248-360-9090 Fax: 248-360-9093 |
Ms. Noelle Katalin Shender, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5441 Wentworth Dr, Commerce Twp, MI 48382 Phone: 248-684-9354 |