Main Street Physicians P.C. - Medicare Primary Care in Woodhaven, MI

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Main Street Physicians P.C. is a medicare enrolled primary clinic (Internal Medicine) in Woodhaven, Michigan. The current practice location for Main Street Physicians P.C. is 25000 Hall Rd Ste 1, Woodhaven, Michigan. For appointments, you can reach them via phone at (734) 676-3373. The mailing address for Main Street Physicians P.C. is 25000 Hall Rd Ste 1, Woodhaven, Michigan and phone number is (734) 676-3373.

Main Street Physicians P.C. is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1952866808. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (734) 676-3373.

Contact Information

Main Street Physicians P.C.
25000 Hall Rd Ste 1
Woodhaven
MI 48183-5112
(734) 676-3373
(734) 676-2014

Map and Direction


Primary Care Clinic Profile

Full NameMain Street Physicians P.C.
SpecialityInternal Medicine
Location25000 Hall Rd Ste 1, Woodhaven, Michigan
Authorized Official Name and PositionChristopher R Deangelis (CEO)
Authorized Official Contact7346763373
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Main Street Physicians P.C.
25000 Hall Rd Ste 1
Woodhaven
MI 48183-5112

Ph: (734) 676-3373		Main Street Physicians P.C.
25000 Hall Rd Ste 1
Woodhaven
MI 48183-5112

Ph: (734) 676-3373

NPI Details:

NPI Number1952866808
Provider Enumeration Date02/05/2019
Last Update Date02/05/2019

Medicare PECOS Information:

Medicare PECOS PAC ID6709125693
Medicare Enrollment IDO20190312001434

Medical Identifiers

Medical identifiers for Main Street Physicians P.C. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952866808NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Main Street Physicians P.C. acts as a billing entity for following providers:
Provider NameChristopher R Deangelis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629076450
PECOS PAC ID: 1254416324
Enrollment ID: I20080313000300
Provider NameSarah E Wilson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275797946
PECOS PAC ID: 5294905956
Enrollment ID: I20110907001162
Provider NameLisa Renee Sullivan
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1811205750
PECOS PAC ID: 0446431506
Enrollment ID: I20110920000493
Provider NameJennifer Burgtorf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205202025
PECOS PAC ID: 6800103862
Enrollment ID: I20150923002754

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.