| Ms Taneisha Mackey, PMHNP-BC | |
|
12200 E 13 Mile Rd # 200, Warren, MI 48093-3093 | |
| (313) 595-2423 | |
| Not Available |
| Full Name | Ms Taneisha Mackey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 12200 E 13 Mile Rd # 200, Warren, 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 |
|---|---|---|---|
| 1750153763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2023037250 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Judson Center Inc | 5698906907 | 9 |
| Entity Name | County Of Macomb |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942532197 PECOS PAC ID: 4880581404 Enrollment ID: O20040301000018 |
| Entity Name | Judson Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033264890 PECOS PAC ID: 5698906907 Enrollment ID: O20140331001580 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Taneisha Mackey, PMHNP-BC 12200 E 13 Mile Rd # 200, Warren, MI 48093-3093 Ph: () - | Ms Taneisha Mackey, PMHNP-BC 12200 E 13 Mile Rd # 200, Warren, MI 48093-3093 Ph: (313) 595-2423 |
Rowena Callo Teodoro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27560 Hoover Rd., Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400 | |
Mrs. Lauren Ashley Zipay, AGACNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000 | |
Olga Dmitryuk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11480 E 13 Mile Rd, Warren, MI 48093 Phone: 586-216-9253 | |
Melanie A Rogus, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 30713 Schoenherr Rd, Warren, MI 48088 Phone: 586-284-2643 Fax: 586-265-2170 | |
Shawn Hillis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30589 Saint Onge Cir, Warren, MI 48088 Phone: 586-439-8799 | |
Alexander Cole-selvaggio, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27101 Schoenherr Rd, Warren, MI 48088 Phone: 586-758-5800 Fax: 586-758-5841 | |
Jenny Dessinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27560 Hoover Rd, Warren, MI 48093 Phone: 586-757-6400 |