| Evert Health, Pllc | |
|
1311 Harvard Rd Berkley MI 48072-1912 | |
| (248) 736-7553 | |
| Not Available |
| Full Name | Evert Health, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1311 Harvard Rd, Berkley, Michigan |
| Authorized Official Name and Position | Marc Vander Vliet (OWNER) |
| Authorized Official Contact | 3135747445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evert Health, Pllc 909 E Maple St Holly MI 48442-1755 Ph: (248) 820-1712 | Evert Health, Pllc 1311 Harvard Rd Berkley MI 48072-1912 Ph: (248) 736-7553 |
| NPI Number | 1053075358 |
|---|---|
| Provider Enumeration Date | 10/24/2021 |
| Last Update Date | 07/07/2022 |
| Medicare PECOS PAC ID | 4385035500 |
|---|---|
| Medicare Enrollment ID | O20211223001454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053075358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Deana Yasso-vander Vliet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649628231 PECOS PAC ID: 8022303221 Enrollment ID: I20160826002243 |
| Provider Name | Marc Vander Vliet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790171304 PECOS PAC ID: 8123320538 Enrollment ID: I20190522003282 |
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