| Mrs Lydia Yenoby Nganongo, NP | |
|
45937 Windridge Ln, Canton, MI 48188-6224 | |
| (504) 919-4486 | |
| Not Available |
| Full Name | Mrs Lydia Yenoby Nganongo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 45937 Windridge Ln, Canton, 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 |
|---|---|---|---|
| 1710774393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704372556 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Health Oakland Hospital | Pontiac, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osh Mi Physicians Group, Pc | 7810282191 | 154 |
| Entity Name | Osh Mi Physicians Group, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700236478 PECOS PAC ID: 7810282191 Enrollment ID: O20160825001362 |
| Entity Name | Vitality Visiting Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073230876 PECOS PAC ID: 2961870969 Enrollment ID: O20221123000751 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lydia Yenoby Nganongo, NP Po Box 746723, Atlanta, GA 30374-6723 Ph: (312) 733-9730 | Mrs Lydia Yenoby Nganongo, NP 45937 Windridge Ln, Canton, MI 48188-6224 Ph: (504) 919-4486 |
Lucinda Pryor, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1161 Stacy Dr, Canton, MI 48188 Phone: 313-740-5358 |
Iqbal Mahal, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 46837 Wareham, Canton, MI 48187 Phone: 734-358-4785 |
Wendy Storey, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 |
Molly Mcintyre, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 |
Patricia Reckling, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 |
Jaclyn Riley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 N Haggerty Rd Ste 200, Canton, MI 48187 Phone: 313-550-3353 |
Jennifer Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6300 N Haggerty Rd, Suite Number 210, Canton, MI 48187 Phone: 734-641-3000 |