| Michael White Jr, | |
|
3100 Broadway St., Suite 400, Detroit, MI 48226-2202 | |
| (586) 335-2006 | |
| (586) 279-3886 |
| Full Name | Michael White Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 3100 Broadway 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 |
|---|---|---|---|
| 1518379650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704288194 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Detroit Community Health Connection Inc | 9234021148 | 16 |
| Entity Name | Detroit Community Health Connection Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982611562 PECOS PAC ID: 9234021148 Enrollment ID: O20040326000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael White Jr, 16134 Collinson Ave, Eastpointe, MI 48021-3651 Ph: (313) 585-3534 | Michael White Jr, 3100 Broadway St., Suite 400, Detroit, MI 48226-2202 Ph: (586) 335-2006 |
Catherine Ann Wenz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16411 Curtis St, Detroit, MI 48235 Phone: 313-838-6822 |
Jaina Sabu Samuel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 |
Caitlin N Yoder, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 Phone: 888-731-8994 |
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, Suite 2066, Detroit, MI 48243 Phone: 888-731-8994 |
Tiwanna Jeaninne Williams, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12121 Broadstreet Ave, Detroit, MI 48204 Phone: 313-824-1000 |