| Tracey E Chan, NP | |
|
5555 Conner St, Ste 2691, Detroit, MI 48213-3448 | |
| (313) 579-1182 | |
| (313) 579-5128 |
| Full Name | Tracey E Chan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 5555 Conner St, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710091376 | NPI | - | NPPES |
| 4956148 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704220570 (Michigan) | Primary |
| Entity Name | Vpa PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669091864 PECOS PAC ID: 9234041948 Enrollment ID: O20031103000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey E Chan, NP 5555 Conner St, Ste 2691, Detroit, MI 48213-3448 Ph: (313) 579-1182 | Tracey E Chan, NP 5555 Conner St, Ste 2691, Detroit, MI 48213-3448 Ph: (313) 579-1182 |
Catherine Ann Wenz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16411 Curtis St, Detroit, MI 48235 Phone: 313-838-6822 |
Jaina Sabu Samuel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 |
Caitlin N Yoder, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 Phone: 888-731-8994 |
Mikayla William, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |
Amber Marroquin, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 |
Michelle M Wojek, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Renaissance Ctr, Suite 2066, Detroit, MI 48243 Phone: 888-731-8994 |
Tiwanna Jeaninne Williams, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12121 Broadstreet Ave, Detroit, MI 48204 Phone: 313-824-1000 |