| Mrs Princy Mathai Smith, NP | |
|
813 Forest Ave, Royal Oak, MI 48067-4213 | |
| (586) 549-8192 | |
| Not Available |
| Full Name | Mrs Princy Mathai Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 813 Forest Ave, Royal Oak, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073265120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704308318 (Michigan) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 4704308318 (Michigan) | Secondary |
| Entity Name | Independent Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
| Entity Name | Emergency Department Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466 |
| Entity Name | Observation Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Princy Mathai Smith, NP 521 Ballantyne Rd, Grosse Pointe Shores, MI 48236-2604 Ph: (586) 549-8192 | Mrs Princy Mathai Smith, NP 813 Forest Ave, Royal Oak, MI 48067-4213 Ph: (586) 549-8192 |
Kelly L Hope, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30701 Woodward Ave Ste 200, Royal Oak, MI 48073 Phone: 248-737-4030 Fax: 248-307-7873 |
Maryana H Akrawi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 Fax: 248-898-0580 |
Bria Gwisdalla, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 |
Angelee Marie Vaile, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26454 Woodward Ave Ste 200, Royal Oak, MI 48067 Phone: 248-588-3500 |
Christina Khouri, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3455 Starr Rd, Royal Oak, MI 48073 Phone: 248-288-9340 |
Ann Catherine Paton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 |
Martina G Mulligan, ACNS-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 |