| Mrs Denise Rose Davis, PA | |
|
27483 Dequindre Rd, Suite 314, Madison Heights, MI 48071-3491 | |
| (248) 547-6600 | |
| (248) 547-5696 |
| Full Name | Mrs Denise Rose Davis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 27483 Dequindre Rd, Madison Heights, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790704062 | NPI | - | NPPES |
| 1790704062 | Medicaid | MI | |
| 700H217350 | Other | MI | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601004747 (Michigan) | Primary |
| Entity Name | Michigan Healthcare Professionals PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Denise Rose Davis, PA 27483 Dequindre Rd, Suite 314, Madison Heights, MI 48071-3491 Ph: (248) 547-6600 | Mrs Denise Rose Davis, PA 27483 Dequindre Rd, Suite 314, Madison Heights, MI 48071-3491 Ph: (248) 547-6600 |
Payton Elise Manns, MS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 350 E 12 Mile Rd, Madison Heights, MI 48071 Phone: 248-716-8600 |
Rita Youkhana, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 30581 Stephenson Hwy, Madison Heights, MI 48071 Phone: 248-589-1770 Fax: 248-589-2838 |
Anita Saad Gorgis, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 350 E 12 Mile Rd, Madison Heights, MI 48071 Phone: 313-377-7377 |
Jenna R Miller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 350 E 12 Mile Rd, Madison Heights, MI 48071 Phone: 248-716-8600 |
Japhia Rachel Kurikesu, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 350 E 12 Mile Rd, Madison Heights, MI 48071 Phone: 248-716-8600 |
Isabella Yaldo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 350 E 12 Mile Rd, Madison Heights, MI 48071 Phone: 248-716-8600 |
Mr. Benjamin Andrew Tong, M.S., PA-C, EMT-P Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 28200 John R, Madison Heights, MI 48071 Phone: 248-547-1400 |