| Samantha Evelyn Demarce, | |
| 
					17901 Huron River Dr, New Boston, MI 48164-3200  | |
| (734) 315-7070 | |
| Not Available | 
| Full Name | Samantha Evelyn Demarce | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 17901 Huron River Dr, New Boston, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447957816 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704315851 (Michigan) | Primary | 
| Entity Name | Medpro Primary Care Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639700107 PECOS PAC ID: 7416386404 Enrollment ID: O20200326000065  | 
| Entity Name | Medpro Urgent Care Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093388159 PECOS PAC ID: 9032515333 Enrollment ID: O20210913001610  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Samantha Evelyn Demarce, 17901 Huron River Dr, New Boston, MI 48164-3200 Ph: () -  | Samantha Evelyn Demarce, 17901 Huron River Dr, New Boston, MI 48164-3200 Ph: (734) 315-7070  | 
Mrs. Moya Tara Talley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25140 Austin Dr, New Boston, MI 48164 Phone: 313-461-5780  | |
Julia Kreyger,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24605 Otter Rd, New Boston, MI 48164 Phone: 734-620-9134  | |
Adam Liparoto,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27158 John Dr, New Boston, MI 48164 Phone: 734-308-4493  |