| American Indian Health And Family Services Of Southeastern Mi Inc | |
|
4880 Lawndalestreet Detroit MI 48210 | |
| (313) 846-3718 | |
| (313) 846-0150 |
| Full Name | American Indian Health And Family Services Of Southeastern Mi Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4880 Lawndalestreet, Detroit, Michigan |
| Authorized Official Name and Position | Waneta Assaf (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 3138463718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Indian Health And Family Services Of Southeastern Mi Inc Po Box 810 Dearborn MI 48121 Ph: (313) 846-3718 | American Indian Health And Family Services Of Southeastern Mi Inc 4880 Lawndalestreet Detroit MI 48210 Ph: (313) 846-3718 |
| NPI Number | 1366552804 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 04/21/2023 |
| Medicare PECOS PAC ID | 4587631429 |
|---|---|
| Medicare Enrollment ID | O20040910001248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366552804 | NPI | - | NPPES |
| 0H21011 | Other | MI | BCBSM PIN/FACILITY CODE |
| Provider Name | Josette Marie French |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194790071 PECOS PAC ID: 6800864869 Enrollment ID: I20040917001204 |
| Provider Name | Alice M Kachman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750323432 PECOS PAC ID: 6103829379 Enrollment ID: I20060809000328 |
| Provider Name | David G Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376756221 PECOS PAC ID: 4880831445 Enrollment ID: I20130520000319 |
| Provider Name | Mary A Bernier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720357791 PECOS PAC ID: 4183919038 Enrollment ID: I20160817001328 |
| Provider Name | Leslie Theisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114400256 PECOS PAC ID: 3577804889 Enrollment ID: I20190416000193 |
| Provider Name | Steven Ware |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063877652 PECOS PAC ID: 3678816725 Enrollment ID: I20190514000367 |
| Provider Name | Melissa Chivis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902215445 PECOS PAC ID: 6800128422 Enrollment ID: I20191031003097 |
| Provider Name | Shaylice M Meserole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912372350 PECOS PAC ID: 9032409057 Enrollment ID: I20200804001665 |
| Provider Name | Violeta Donawa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851865372 PECOS PAC ID: 0648665984 Enrollment ID: I20220323000482 |
| Provider Name | Jesse L Klebba |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1861804577 PECOS PAC ID: 0547572455 Enrollment ID: I20220328000175 |
| Provider Name | Alicia Steele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679133227 PECOS PAC ID: 6507238581 Enrollment ID: I20230221002277 |
| Provider Name | Shalynn Marie Rangel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710617311 PECOS PAC ID: 0446610638 Enrollment ID: I20230719003618 |
| Provider Name | Kimberly Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528346707 PECOS PAC ID: 9537414081 Enrollment ID: I20240123001603 |
Smith Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7800 W Outer Dr, Suite 230, Detroit, MI 48235 Phone: 313-535-0900 Fax: 313-535-3810 | |
St. John Hospital And Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 586-753-0011 | |
Community Health And Social Services Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3426 Mack Avenue, Detroit, MI 48207 Phone: 313-849-3920 | |
Health Care Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17141 Hayes St, Detroit, MI 48205 Phone: 313-245-1700 Fax: 313-245-1701 | |
Mizrahi Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7633 E Jefferson Ave Ste 250, Detroit, MI 48214 Phone: 313-821-3338 Fax: 313-823-5363 | |
T L Sea Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15201 W Mcnichols Rd, Detroit, MI 48235 Phone: 313-516-3142 | |
Community Health And Social Services Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 882 Oakman Blvd, Detroit, MI 48238 Phone: 313-849-3920 Fax: 313-849-0824 |