| Myndfull Care Michigan Pc | |
|
5930 Lovers Ln Ste L1 Portage MI 49002-1673 | |
| (855) 839-8878 | |
| Not Available |
| Full Name | Myndfull Care Michigan Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5930 Lovers Ln Ste L1, Portage, Michigan |
| Authorized Official Name and Position | Teja Singh (OWNER/MD) |
| Authorized Official Contact | 8558398878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myndfull Care Michigan Pc 9436 W Lake Mead Blvd Suite 5 Pmb 1113 Las Vegas NV 89134 Ph: () - | Myndfull Care Michigan Pc 5930 Lovers Ln Ste L1 Portage MI 49002-1673 Ph: (855) 839-8878 |
| NPI Number | 1053037382 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 01/05/2024 |
| Medicare PECOS PAC ID | 0244605814 |
|---|---|
| Medicare Enrollment ID | O20230412003125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053037382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pamela M Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669744660 PECOS PAC ID: 5193986099 Enrollment ID: I20120420000353 |
| Provider Name | Amy Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245637354 PECOS PAC ID: 6608199328 Enrollment ID: I20150102000835 |
| Provider Name | Amanda J Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912433582 PECOS PAC ID: 2769750314 Enrollment ID: I20170622002222 |
| Provider Name | Breanna E Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306422365 PECOS PAC ID: 6709278252 Enrollment ID: I20220113002116 |
| Provider Name | Teja Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205875606 PECOS PAC ID: 5193732030 Enrollment ID: I20230202001102 |
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