| Taylor Bahoora, | |
|
259 Mack Ave, Detroit, MI 48201-2427 | |
| (171) 631-3577 | |
| Not Available |
| Full Name | Taylor Bahoora |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 259 Mack Ave, Detroit, 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 |
|---|---|---|---|
| 1104632413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Reliable Home Health Patient Care Co | Farmington hills, MI | Home health agency |
| Trinity Health Ann Arbor Hospital | Ypsilanti, MI | Hospital |
| Trinity Health Oakland Hospital | Pontiac, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iha Health Services Corporation | 2466351440 | 1149 |
| Care Family Medicine Center Pllc | 8729475207 | 6 |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Entity Name | Care Family Medicine Center PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083358782 PECOS PAC ID: 8729475207 Enrollment ID: O20220502001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Bahoora, 259 Mack Ave, Detroit, MI 48201-2427 Ph: Not Available | Taylor Bahoora, 259 Mack Ave, Detroit, MI 48201-2427 Ph: (171) 631-3577 |
Ms. Lilia Popadiuk, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-993-0200 |
Jennifer Gracia Villella, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd # K9, Detroit, MI 48202 Phone: 313-916-4920 |
Mrs. Rachelle Noel Wright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |
Lara Barnas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |
Annabel Shammami, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 259 Mack Ave, Detroit, MI 48201 Phone: 313-577-1716 |
Andrea Bell Kmiec, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |
Ms. Janet Filek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 248-396-9359 |