| Emmaus Health Pllc | |
|
24 Frank Lloyd Wright Dr L2200 Ann Arbor MI 48105-9484 | |
| (734) 930-4020 | |
| (734) 930-4055 |
| Full Name | Emmaus Health Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 24 Frank Lloyd Wright Dr, Ann Arbor, Michigan |
| Authorized Official Name and Position | Kelly Kendall (PRACTICE MANAGER) |
| Authorized Official Contact | 7349304020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmaus Health Pllc 24 Frank Lloyd Wright Dr L2200 Ann Arbor MI 48105-9484 Ph: (734) 930-4020 | Emmaus Health Pllc 24 Frank Lloyd Wright Dr L2200 Ann Arbor MI 48105-9484 Ph: (734) 930-4020 |
| NPI Number | 1881002491 |
|---|---|
| Provider Enumeration Date | 07/28/2014 |
| Last Update Date | 06/17/2021 |
| Medicare PECOS PAC ID | 4284853219 |
|---|---|
| Medicare Enrollment ID | O20140924000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881002491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 4301060012 (Michigan) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jennifer E Castillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902995863 PECOS PAC ID: 1254360332 Enrollment ID: I20050809000627 |
| Provider Name | Philip V Fleming |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609950435 PECOS PAC ID: 1456345602 Enrollment ID: I20051118000444 |
| Provider Name | Brian P Fedoronko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962410290 PECOS PAC ID: 3072532050 Enrollment ID: I20051118000512 |
| Provider Name | William Edward Chavey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366530867 PECOS PAC ID: 4486781846 Enrollment ID: I20100416000547 |
| Provider Name | Elizabeth A Sorenson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275667263 PECOS PAC ID: 5991973653 Enrollment ID: I20110722000694 |
| Provider Name | Josehns Silva Goncalves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902197239 PECOS PAC ID: 0648424887 Enrollment ID: I20131009000799 |
| Provider Name | Jennifer E Berkowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083935571 PECOS PAC ID: 5991935843 Enrollment ID: I20140220001488 |
| Provider Name | James R Tabeling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649721986 PECOS PAC ID: 6204114838 Enrollment ID: I20161101002490 |
| Provider Name | Kimberly Wahmhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255883401 PECOS PAC ID: 2264704105 Enrollment ID: I20170828001033 |
| Provider Name | Linda G Marcarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588220933 PECOS PAC ID: 5698008977 Enrollment ID: I20190603000188 |
| Provider Name | Scott Waclawik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730546722 PECOS PAC ID: 9032466685 Enrollment ID: I20190701001766 |
| Provider Name | Justin M Wilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093350290 PECOS PAC ID: 4981016631 Enrollment ID: I20201222000941 |
| Provider Name | Clare Marie Hall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609320795 PECOS PAC ID: 6608146345 Enrollment ID: I20210113000889 |
Dr. Chris Popp, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Aprill Dr Ste 5, Ann Arbor, MI 48103 Phone: 734-212-6668 Fax: 734-212-6891 | |
Regents Of The University Of Michigan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Dennis K Chernin Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2345 S Huron Pkwy, Ann Arbor, MI 48104 Phone: 734-973-3030 Fax: 734-973-3057 | |
South Arbor Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 W Eisenhower Pkwy, Suite 190, Ann Arbor, MI 48103 Phone: 734-707-7075 Fax: 734-707-4975 | |
Healthcare Professionals Of Ann Arbor Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3063 Oak Valley Dr, Ann Arbor, MI 48103 Phone: 734-492-0040 | |
Michigan Visiting Physician P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Golfside Ste #9, Ann Arbor, MI 48108 Phone: 734-572-1666 | |
Advance Care Visiting Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3550 Burbank Dr, Ann Arbor, MI 48105 Phone: 734-451-0600 Fax: 734-451-0603 |