| Marlon Nicdao, | |
|
3990 John R St, Detroit, MI 48201-2018 | |
| (313) 745-8040 | |
| Not Available |
| Full Name | Marlon Nicdao |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 3990 John R St, Detroit, 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 |
|---|---|---|---|
| 1225673114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 4704289739 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Harper University Hospital | Detroit, MI | Hospital |
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Ascension St John Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providers Tek Inc | 2264792084 | 10 |
| Riverview Neuromuscular Pain Center Pllc | 9830595701 | 3 |
| Entity Name | Ayman Tarabishy Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548624984 PECOS PAC ID: 0446521850 Enrollment ID: O20170803001387 |
| Entity Name | Providers Tek Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699283283 PECOS PAC ID: 2264792084 Enrollment ID: O20180215001741 |
| Entity Name | Riverview Neuromuscular Pain Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447827894 PECOS PAC ID: 9830595701 Enrollment ID: O20210901002978 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlon Nicdao, 4700 Greenfield Rd Ste 2e, Dearborn, MI 48126-4124 Ph: (313) 740-1111 | Marlon Nicdao, 3990 John R St, Detroit, MI 48201-2018 Ph: (313) 745-8040 |
Catherine Ann Wenz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16411 Curtis St, Detroit, MI 48235 Phone: 313-838-6822 | |
Mikayla William, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Amber Marroquin, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Michelle M Wojek, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 Phone: 888-731-8994 | |
Tiwanna Jeaninne Williams, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 Broadstreet Ave, Detroit, MI 48204 Phone: 313-824-1000 | |
Mrs. Ines Hurley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 Beaubien St, Detroit, MI 48201 Phone: 313-745-5437 | |
Nicole Woznicki, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3901 Chrysler Dr, Detroit, MI 48201 Phone: 313-966-7601 |