| Tyler James Mariage, FNP-BC | |
|
17000 E 10 Mile Rd, Eastpointe, MI 48021-1263 | |
| (586) 563-5555 | |
| Not Available |
| Full Name | Tyler James Mariage |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 17000 E 10 Mile Rd, Eastpointe, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154195923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 34704346298 (Michigan) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 4704346298 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Complete Care Rehab Llc | 2466423637 | 5 |
| Michigan Primary Care Pllc | 4486846250 | 7 |
| Entity Name | Michigan Primary Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669799128 PECOS PAC ID: 4486846250 Enrollment ID: O20101012000609 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler James Mariage, FNP-BC 17000 E 10 Mile Rd, Eastpointe, MI 48021-1263 Ph: (586) 563-5555 | Tyler James Mariage, FNP-BC 17000 E 10 Mile Rd, Eastpointe, MI 48021-1263 Ph: (586) 563-5555 |
Neha Russo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21300 Kelly Rd, Eastpointe, MI 48021 Phone: 586-447-4200 | |
Miss Navdeep Kaur Pabla, RN BSN MSN NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24815 Ridgecroft Ave, Eastpointe, MI 48021 Phone: 586-420-0369 Fax: 586-420-0369 | |
Katarzyna Noelle Brock, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19070 E 10 Mile Rd, Eastpointe, MI 48021 Phone: 586-445-0177 Fax: 585-773-1385 | |
Mrs. Leann Nicole Munaco, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21300 Kelly Rd, Eastpointe, MI 48021 Phone: 586-447-4200 Fax: 586-447-4208 | |
Colleen Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17000 E 10 Mile Rd, Eastpointe, MI 48021 Phone: 586-563-5555 Fax: 586-563-1778 | |
Mrs. Andrea D Zinke, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24901 Kelly Rd, Eastpointe, MI 48021 Phone: 586-772-9055 Fax: 586-772-0543 |