| Mrs Khalida M Graham, MSN, FNP-C | |
|
1221 Pine Grove Ave, Port Huron, MI 48060-3511 | |
| (810) 987-5000 | |
| Not Available |
| Full Name | Mrs Khalida M Graham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1221 Pine Grove Ave, Port Huron, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255859898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 4704248246 (Michigan) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 4704248246 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Macomb Hospital Corporation | 7911808381 | 304 |
| Entity Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952440521 PECOS PAC ID: 7911808381 Enrollment ID: O20040617000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Khalida M Graham, MSN, FNP-C 1221 Pine Grove Ave, Port Huron, MI 48060-3511 Ph: (810) 987-5000 | Mrs Khalida M Graham, MSN, FNP-C 1221 Pine Grove Ave, Port Huron, MI 48060-3511 Ph: (810) 987-5000 |
Ms. Margaret Ann Gressle, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
Justine Schrader, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1979 Holland Ave, Port Huron, MI 48060 Phone: 810-982-1200 | |
Amy Storey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-2669 | |
Carol Lydia Wiediger, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Mrs. Sarah Colleen Ingles, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2875 Henry St, Port Huron, MI 48060 Phone: 810-966-7804 Fax: 810-987-9148 | |
Mrs. Elizabeth May Helmreich, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Stone St, Suite 5, Port Huron, MI 48060 Phone: 810-966-9556 Fax: 810-966-4898 | |
Gudalia Fajardo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2603 Electric Ave Ste 1, Port Huron, MI 48060 Phone: 810-987-5252 Fax: 810-987-2120 |