| Medicina Scarlett Llc | |
|
8631 W Vernor Hwy Ste B1a Detroit MI 48209-3420 | |
| (917) 885-5670 | |
| Not Available |
| Full Name | Medicina Scarlett Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8631 W Vernor Hwy Ste B1a, Detroit, Michigan |
| Authorized Official Name and Position | Scarlett Idema (FAMILY NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 9178855670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicina Scarlett Llc 2932 Elmhurst Ave Royal Oak MI 48073-3099 Ph: (917) 885-5670 | Medicina Scarlett Llc 8631 W Vernor Hwy Ste B1a Detroit MI 48209-3420 Ph: (917) 885-5670 |
| NPI Number | 1912602285 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 06/23/2023 |
| Medicare PECOS PAC ID | 9830559202 |
|---|---|
| Medicare Enrollment ID | O20230717002502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912602285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Scarlett Idema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316520653 PECOS PAC ID: 8325443849 Enrollment ID: I20210823000261 |
| Provider Name | Rocio Isabel Gomez-woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710455795 PECOS PAC ID: 6002345550 Enrollment ID: I20250128004101 |
Detroit Health Care For The Homeless Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15400 W Mcnichols Rd, Detroit, MI 48235 Phone: 313-416-6262 Fax: 313-221-8217 | |
Detroit Central City Community Mental Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8333 Townsend St, Detroit, MI 48213 Phone: 313-831-3160 | |
Dwight E Smith, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7800 W Outer Dr, Suite 230, Detroit, MI 48235 Phone: 313-535-0900 Fax: 313-535-3810 | |
St. John Hospital And Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 586-753-0011 | |
Community Health And Social Services Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3426 Mack Avenue, Detroit, MI 48207 Phone: 313-849-3920 | |
Ascension St John Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 586-753-0011 | |
Health Care Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17141 Hayes St, Detroit, MI 48205 Phone: 313-245-1700 Fax: 313-245-1701 |