| Vance Daly Powell Iii, RN, BSN, NP-C | |
|
23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-1181 | |
| (586) 447-8021 | |
| Not Available |
| Full Name | Vance Daly Powell Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 23715 Little Mack Ave Ste 100, Saint Clair Shores, 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 |
|---|---|---|---|
| 1992180491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704283371 (Michigan) | Secondary |
| 363L00000X | Nurse Practitioner | 4704283371 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health William Beaumont University Hospit | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oakwood Ambulatory Llc | 1850282914 | 271 |
| Entity Name | Oakwood Ambulatory LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401 |
| Entity Name | Botsford General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134557960 PECOS PAC ID: 2668385238 Enrollment ID: O20050621000683 |
| Mailing Address | Practice Location Address |
|---|---|
| Vance Daly Powell Iii, RN, BSN, NP-C 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: Not Available | Vance Daly Powell Iii, RN, BSN, NP-C 23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-1181 Ph: (586) 447-8021 |
Naomi Catherine Amey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25631 Little Mack Ave Ste 205, Saint Clair Shores, MI 48081 Phone: 586-443-2930 |
Carrie L Anderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 |
Jennifer Kulinski, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24800 Ursuline St, Saint Clair Shores, MI 48080 Phone: 586-945-5088 |
Mrs. Ayesha Massey Bennett, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656 |
Meghan Martinovski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656 |
Natalie Buch, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23100 Jefferson Ave, Saint Clair Shores, MI 48080 Phone: 248-343-2825 |
Mr. Ronald August Bonaventura Jr., Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22432 Harper Lake Ave, Saint Clair Shores, MI 48080 Phone: 586-557-8398 |