| Home MD PLLC | |
|
4568 W Walton Blvd Ste D Waterford MI 48329-4900 | |
| (855) 466-3631 | |
| (833) 973-4493 |
| Full Name | Home MD PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4568 W Walton Blvd Ste D, Waterford, Michigan |
| Authorized Official Name and Position | Deborah Vaubel (ADMINISTRATOR) |
| Authorized Official Contact | 8106200398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home MD PLLC 4568 W Walton Blvd Ste D Waterford MI 48329-4900 Ph: (855) 466-3631 | Home MD PLLC 4568 W Walton Blvd Ste D Waterford MI 48329-4900 Ph: (855) 466-3631 |
| NPI Number | 1407747215 |
|---|---|
| Provider Enumeration Date | 07/10/2025 |
| Last Update Date | 07/10/2025 |
| Certification Date | 07/10/2025 |
| Medicare PECOS PAC ID | 5193225399 |
|---|---|
| Medicare Enrollment ID | O20250822000745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407747215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (NU) | Primary |
| Provider Name | James L Tougas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073991477 PECOS PAC ID: 2466768916 Enrollment ID: I20150831000568 |
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