| Mary Lewis, CNM | |
|
4201 Saint Antoine St, Suite 4c, Detroit, MI 48201-2153 | |
| (313) 745-4525 | |
| (313) 745-4399 |
| Full Name | Mary Lewis |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 49 Years |
| Location | 4201 Saint Antoine St, Detroit, 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 |
|---|---|---|---|
| 1619917168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 4704167710 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Physician Group | 8628087681 | 368 |
| Entity Name | University Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
| Entity Name | Greenfield Medical Center Of Dearborn Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033389606 PECOS PAC ID: 4981771912 Enrollment ID: O20080917000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lewis, CNM 1560 E Maple Rd, Suite 400-credentialing, Troy, MI 48083-1138 Ph: (248) 581-5970 | Mary Lewis, CNM 4201 Saint Antoine St, Suite 4c, Detroit, MI 48201-2153 Ph: (313) 745-4525 |
Asia Joyner, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 Fax: 313-916-7437 | |
Latasha Keller, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 111 W 7 Mile Rd, Detroit, MI 48203 Phone: 313-369-2600 | |
Rebecca Catherine Harris, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 4201 Saint Antoine St, Suite 4c, Detroit, MI 48201 Phone: 313-745-4525 Fax: 313-745-4399 | |
Julie Mckinley, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3980 John R, Detroit, MI 48201 Phone: 888-362-2500 | |
Ivy Omorodion, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Sara Gilbertson Mertz, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2799 West Grand Blvd, Henry Ford Hospital, Detroit, MI 48202 Phone: 313-953-9446 | |
Aimee Nicole Smith, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |