| Mr Jeffrey Rayner Lapennas, NP | |
|
19100 W 7 Mile Rd, Detroit, MI 48219-2758 | |
| (313) 533-5002 | |
| Not Available |
| Full Name | Mr Jeffrey Rayner Lapennas |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 19100 W 7 Mile Rd, 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 |
|---|---|---|---|
| 1265114227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704394815 (Michigan) | Primary |
| 363L00000X | Nurse Practitioner | APRN.CNP.0039414 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Illumia Health Llc | 7810424306 | 33 |
| Exceptional Care Services Llc | 5799175741 | 36 |
| Entity Name | Exceptional Care Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245900794 PECOS PAC ID: 5799175741 Enrollment ID: O20221021001400 |
| Entity Name | Illumia Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740024397 PECOS PAC ID: 7810424306 Enrollment ID: O20241223000539 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffrey Rayner Lapennas, NP 1050 Forrer Blvd Ste 250, Kettering, OH 45420-3640 Ph: (800) 986-4801 | Mr Jeffrey Rayner Lapennas, NP 19100 W 7 Mile Rd, Detroit, MI 48219-2758 Ph: (313) 533-5002 |
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 |