| Legacy Family Care Pllc | |
|
23800 Orchard Lake Rd Ste 202 Farmington Hills MI 48336-2562 | |
| (248) 997-5964 | |
| Not Available |
| Full Name | Legacy Family Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 23800 Orchard Lake Rd Ste 202, Farmington Hills, Michigan |
| Authorized Official Name and Position | Samuel Park (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2489975964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Family Care Pllc 23800 Orchard Lake Rd Ste 202 Farmington Hills MI 48336-2562 Ph: (248) 997-5964 | Legacy Family Care Pllc 23800 Orchard Lake Rd Ste 202 Farmington Hills MI 48336-2562 Ph: (248) 997-5964 |
| NPI Number | 1841000361 |
|---|---|
| Provider Enumeration Date | 01/08/2025 |
| Last Update Date | 08/08/2025 |
| Medicare PECOS PAC ID | 9234659830 |
|---|---|
| Medicare Enrollment ID | O20250226002319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841000361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Heather Koza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194045526 PECOS PAC ID: 1153550223 Enrollment ID: I20140213000077 |
| Provider Name | Suma S Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407272206 PECOS PAC ID: 1456675107 Enrollment ID: I20170911000419 |
| Provider Name | Farrah Thwainey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700396868 PECOS PAC ID: 6204375462 Enrollment ID: I20250408001995 |
Powers Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23700 Orchard Lake Rd, Farmington Hills, MI 48336 Phone: 717-682-0670 | |
Tlc Laser Center Of Detroit, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 34405 W 12 Mile Rd, Ste. 154, Farmington Hills, MI 48331 Phone: 248-489-0400 | |
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 Citizens For Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32905 W 12 Mile Rd Ste 410, Farmington Hills, MI 48334 Phone: 989-736-8157 | |
The Mel Bornstein Clinic For Psychoanalysis And Psychotherapy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32841 Middlebelt Rd Ste 403, Farmington Hills, MI 48334 Phone: 248-910-0315 | |
Michigan Health Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27750 Middlebelt Rd Ste 100, Farmington Hills, MI 48334 Phone: 248-702-5050 Fax: 877-408-1039 | |
Marc S Mastropaolo D O P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33466 W 8 Mile Rd, Suite 444, Farmington Hills, MI 48335 Phone: 248-476-6400 Fax: 248-476-6465 |