| Bi-county Physicinas | |
|
21600 Harper Ave Ste 100 Saint Clair Shores MI 48080-2242 | |
| (586) 498-4800 | |
| (586) 800-1002 |
| Full Name | Bi-county Physicinas |
|---|---|
| Speciality | Family Medicine |
| Location | 21600 Harper Ave Ste 100, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Farah S Alrais (OFFICE MANAGER) |
| Authorized Official Contact | 2487208322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bi-county Physicinas 21600 Harper Ave Ste 100 Saint Clair Shores MI 48080-2242 Ph: (586) 800-1001 | Bi-county Physicinas 21600 Harper Ave Ste 100 Saint Clair Shores MI 48080-2242 Ph: (586) 498-4800 |
| NPI Number | 1114417813 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 04/28/2020 |
| Medicare PECOS PAC ID | 9436407236 |
|---|---|
| Medicare Enrollment ID | O20180810001530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114417813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301092637 (Michigan) | Primary |
| Provider Name | Mark B Alrais |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083875702 PECOS PAC ID: 1355383233 Enrollment ID: I20110715000563 |
| Provider Name | Neethu Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528355906 PECOS PAC ID: 0648595975 Enrollment ID: I20150209001792 |
| Provider Name | Edmund Loranger Neumaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942711452 PECOS PAC ID: 2466705926 Enrollment ID: I20181030002441 |
| Provider Name | Tamara Kasmikha |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760841209 PECOS PAC ID: 6709165723 Enrollment ID: I20190502001378 |
| Provider Name | Chady Haurani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982992475 PECOS PAC ID: 5294082533 Enrollment ID: I20200731000742 |
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