| Kevin Green, | |
|
6014 W Maple Rd, West Bloomfield, MI 48322-2212 | |
| (248) 855-7453 | |
| Not Available |
| Full Name | Kevin Green |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 6014 W Maple Rd, West Bloomfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508638073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704366840 (Michigan) | Primary |
| Entity Name | West Bloomfield Internal Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699883272 PECOS PAC ID: 7517166853 Enrollment ID: O20101012000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Green, 6014 W Maple Rd, West Bloomfield, MI 48322-2212 Ph: () - | Kevin Green, 6014 W Maple Rd, West Bloomfield, MI 48322-2212 Ph: (248) 855-7453 |
Alexsandra Aquila Lachance, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2300 Haggerty Rd Ste 2000, West Bloomfield, MI 48323 Phone: 248-624-9900 Fax: 248-896-5450 | |
Sandra Oliver-mcneil, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6450 Farmington Rd Ste 200, West Bloomfield, MI 48322 Phone: 248-788-4278 Fax: 248-788-2001 | |
Mrs. Dorota Meller Klenk, RN NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6777 W. Maple Rd, Dept Of Surgery, West Bloomfield, MI 48322 Phone: 248-910-0061 Fax: 248-849-3230 | |
Lana Turbovsky, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7125 Orchard Lake Rd Ste 210, West Bloomfield, MI 48322 Phone: 248-757-2410 Fax: 248-757-2412 | |
Nicole Kajy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5254 Waterview Dr, West Bloomfield, MI 48323 Phone: 248-683-2571 | |
Ms. Aurica Haiduc Lucaciu, C-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-1000 | |
Dr. Heather Roebuck, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5807 W Maple Rd, Suite 171, West Bloomfield, MI 48322 Phone: 248-862-6269 Fax: 248-862-6382 |