| Mariam Abdul-hussein Abbas, | |
|
14799 Dix Toledo Rd, Southgate, MI 48195-2507 | |
| (734) 324-8326 | |
| Not Available |
| Full Name | Mariam Abdul-hussein Abbas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 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 |
|---|---|---|---|
| 1982352811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 4704286635 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitality Health Clinic Pllc | 7911345103 | 2 |
| 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 | Vitality Health Clinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689430407 PECOS PAC ID: 7911345103 Enrollment ID: O20240408000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam Abdul-hussein Abbas, 732 Dover St, Dearborn Heights, MI 48127-4114 Ph: (313) 671-8961 | Mariam Abdul-hussein Abbas, 14799 Dix Toledo Rd, Southgate, MI 48195-2507 Ph: (734) 324-8326 |
Scott Anthony Blackburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11275 Allen Rd, Southgate, MI 48195 Phone: 313-383-7071 Fax: 313-383-7194 |
Eid Tahsine Eid, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11275 Allen Rd, Southgate, MI 48195 Phone: 313-383-7071 Fax: 313-383-7194 |
Moneak D Parker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-734-7700 |
Mrs. Dana Lara Wolfe, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16525 Fort St, Southgate, MI 48195 Phone: 734-250-9529 |
Carmen Rasean Evans, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Heritage Dr Ste 230, Southgate, MI 48195 Phone: 248-832-6700 |
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 |
Jazminn Monson, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 11275 Allen Rd, Southgate, MI 48195 Phone: 313-383-7071 Fax: 313-383-7194 |