| Bruce A. Cassidy, D.o., Pc | |
|
28080 Grand River Ave Ste 208n Farmington Hills MI 48336-5966 | |
| (248) 308-2604 | |
| (248) 308-2608 |
| Full Name | Bruce A. Cassidy, D.o., Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 28080 Grand River Ave Ste 208n, Farmington Hills, Michigan |
| Authorized Official Name and Position | Michelle Mcgee (OFFICE MANAGER) |
| Authorized Official Contact | 2483082604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce A. Cassidy, D.o., Pc Po Box 673102 Detroit MI 48267-3102 Ph: (248) 308-2604 | Bruce A. Cassidy, D.o., Pc 28080 Grand River Ave Ste 208n Farmington Hills MI 48336-5966 Ph: (248) 308-2604 |
| NPI Number | 1053409268 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 09/19/2022 |
| Medicare PECOS PAC ID | 6709869365 |
|---|---|
| Medicare Enrollment ID | O20040612000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053409268 | NPI | - | NPPES |
| 1156307745 | Other | MI | BCBS |
| 114334390 | Medicaid | MI | |
| 1770568198 | Other | MI | INDIVIDUAL NPI |
| BC013348 | Other | MI | MI STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | BC013348 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce A Cassidy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770568198 PECOS PAC ID: 1052394616 Enrollment ID: I20040616001040 |
| Provider Name | Dana Bushman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215461173 PECOS PAC ID: 0840561841 Enrollment ID: I20170821001306 |
| Provider Name | Katherine Rae Holyfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447786207 PECOS PAC ID: 6507126083 Enrollment ID: I20180131002431 |
| Provider Name | Danielle Marie Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114420528 PECOS PAC ID: 9931459112 Enrollment ID: I20180910001220 |
| Provider Name | Suraya Ezzat Chamseddine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285378422 PECOS PAC ID: 1951786177 Enrollment ID: I20220923000806 |
| Provider Name | Kimberly Ann Buatti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316660145 PECOS PAC ID: 4284092701 Enrollment ID: I20230615000953 |
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Powers Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23700 Orchard Lake Rd, Farmington Hills, MI 48336 Phone: 717-682-0670 | |
Advance Care Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26120 Springland St, Farmington Hills, MI 48334 Phone: 248-722-6446 | |
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Primecare Family Medicine Concierge Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33466 W 8 Mile Rd, Farmington Hills, MI 48335 Phone: 248-246-0505 Fax: 248-284-4487 | |
Alcona Health Center Advanced Psychiatric Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32905 W 12 Mile Rd Ste 410, Farmington Hills, MI 48334 Phone: 989-736-8157 |