| Michelle Jacqueline Wilmes, AGPCNP-BC | |
|
400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | |
| (877) 702-6863 | |
| Not Available |
| Full Name | Michelle Jacqueline Wilmes |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 400 Renaissance Ctr Ste 2600, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326620717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM0705X | Registered Nurse - Medical-surgical | 4704321495 (Michigan) | Secondary |
| 363L00000X | Nurse Practitioner | 4704321495 (Michigan) | Primary |
| Entity Name | Carelon Medical Partners, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20210623001084 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Jacqueline Wilmes, AGPCNP-BC 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 Ph: (877) 702-6863 | Michelle Jacqueline Wilmes, AGPCNP-BC 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 Ph: (877) 702-6863 |
Catherine Ann Wenz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16411 Curtis St, Detroit, MI 48235 Phone: 313-838-6822 | |
Mikayla Spica, 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: Accepting Medicare Assignments 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 |