Revard Joseph Saffo, | |
14825 Southfield Rd, Allen Park, MI 48101-2642 | |
(313) 383-7071 | |
(313) 383-7194 |
Full Name | Revard Joseph Saffo |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 14825 Southfield Rd, Allen Park, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790393486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704335406 (Michigan) | Primary |
Entity Name | Michigan Post-acute Medical Services 1 Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669901567 PECOS PAC ID: 2163798877 Enrollment ID: O20171025001292 |
Entity Name | Mi Pacs 2 Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205418357 PECOS PAC ID: 2264831577 Enrollment ID: O20210518002473 |
Mailing Address | Practice Location Address |
---|---|
Revard Joseph Saffo, 29348 Douglas Dr, Novi, MI 48377-2891 Ph: (248) 933-5288 | Revard Joseph Saffo, 14825 Southfield Rd, Allen Park, MI 48101-2642 Ph: (313) 383-7071 |
Melissa Erin Hana, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15101 Southfield Rd Ste 101, Allen Park, MI 48101 Phone: 313-383-3333 | |
Eid Tahsine Eid, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14825 Southfield Rd, Allen Park, MI 48101 Phone: 313-383-7071 | |
Kayla Ann Hawthorne, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7221 Winona Ave, Allen Park, MI 48101 Phone: 313-909-2619 | |
Jazminn Martinez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14825 Southfield Rd, Allen Park, MI 48101 Phone: 313-383-7071 | |
Linsey Lozon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7445 Allen Rd Ste 210, Allen Park, MI 48101 Phone: 313-388-9552 | |
Dione Michel Johnson, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15606 Southfield Rd, Allen Park, MI 48101 Phone: 313-216-6200 | |
Ashley Singh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7445 Allen Rd Ste 250, Allen Park, MI 48101 Phone: 734-282-2800 |