| New Horizons Medical Center, Pc | |
|
19335 Merriman Rd Livonia MI 48152-1754 | |
| (248) 474-4900 | |
| Not Available |
| Full Name | New Horizons Medical Center, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 19335 Merriman Rd, Livonia, Michigan |
| Authorized Official Name and Position | Sean Patrick Coyle (PRESIDENT) |
| Authorized Official Contact | 2484744900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Horizons Medical Center, Pc 19335 Merriman Rd Livonia MI 48152-1754 Ph: (248) 474-4900 | New Horizons Medical Center, Pc 19335 Merriman Rd Livonia MI 48152-1754 Ph: (248) 474-4900 |
| NPI Number | 1083762793 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 06/30/2014 |
| Medicare PECOS PAC ID | 6305828542 |
|---|---|
| Medicare Enrollment ID | O20040602001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083762793 | NPI | - | NPPES |
| 080H24860 | Other | MI | BLUE CROSS BLUE SHIELD |
| Provider Name | Sean Patrick Coyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598736621 PECOS PAC ID: 2163404302 Enrollment ID: I20101123000713 |
| Provider Name | Jennifer Alice Cockels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245691914 PECOS PAC ID: 7911290556 Enrollment ID: I20161010000900 |
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