| Encore Geriatrics Pllc | |
|
8365 N Newburgh Rd Westland MI 48185-1149 | |
| (423) 310-1642 | |
| Not Available |
| Full Name | Encore Geriatrics Pllc |
|---|---|
| Speciality | General Practice |
| Location | 8365 N Newburgh Rd, Westland, Michigan |
| Authorized Official Name and Position | Andrew Colman (OWNER) |
| Authorized Official Contact | 4233101642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Encore Geriatrics Pllc Po Box 2444 Dalton GA 30722-2444 Ph: (423) 310-1642 | Encore Geriatrics Pllc 8365 N Newburgh Rd Westland MI 48185-1149 Ph: (423) 310-1642 |
| NPI Number | 1053811380 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 08/30/2022 |
| Medicare PECOS PAC ID | 6507128774 |
|---|---|
| Medicare Enrollment ID | O20180328001184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053811380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 5101007865 (Michigan) | Primary |
| Provider Name | Andrew J Colman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912983131 PECOS PAC ID: 0244126811 Enrollment ID: I20051025000930 |
| Provider Name | Jeremy Michael Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497712129 PECOS PAC ID: 1951323435 Enrollment ID: I20051227000558 |
| Provider Name | Mary J Niemeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477530475 PECOS PAC ID: 0446264154 Enrollment ID: I20060202000250 |
| Provider Name | Brenda Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649504952 PECOS PAC ID: 2365589702 Enrollment ID: I20140514001055 |
| Provider Name | Jodie M Colman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366815557 PECOS PAC ID: 1153622949 Enrollment ID: I20151221001990 |
| Provider Name | Jenna Mckeever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689023244 PECOS PAC ID: 4587957527 Enrollment ID: I20160727003093 |
| Provider Name | Stacey Cantor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962837518 PECOS PAC ID: 9830323203 Enrollment ID: I20161110000962 |
| Provider Name | Robert T Louis-ferdinand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548802713 PECOS PAC ID: 0547480642 Enrollment ID: I20191220000741 |
| Provider Name | Alexandra Marie Rabban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700407210 PECOS PAC ID: 8022430107 Enrollment ID: I20200618000364 |
| Provider Name | Jaleesa Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093332546 PECOS PAC ID: 1052730306 Enrollment ID: I20201006001463 |
| Provider Name | Brooke Colman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447822317 PECOS PAC ID: 0648675553 Enrollment ID: I20210816001737 |
| Provider Name | Tanya Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134839707 PECOS PAC ID: 5496124703 Enrollment ID: I20221208001436 |
| Provider Name | Cara B Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720443476 PECOS PAC ID: 6608144431 Enrollment ID: I20230430000050 |
| Provider Name | Starr Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427667690 PECOS PAC ID: 3971974668 Enrollment ID: I20230726002042 |
| Provider Name | Angela Lee Dobbie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346722451 PECOS PAC ID: 1254783624 Enrollment ID: I20240122002205 |
| Provider Name | Melinda J Talbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699329060 PECOS PAC ID: 7719330307 Enrollment ID: I20240131000586 |
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