| Primary Care Associates, Pc | |
|
18263 E 10 Mile Rd Ste B Roseville MI 48066-5805 | |
| (586) 445-2330 | |
| (586) 445-2352 |
| Full Name | Primary Care Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18263 E 10 Mile Rd Ste B, Roseville, Michigan |
| Authorized Official Name and Position | Gregory G Montpetit (PRESIDENT) |
| Authorized Official Contact | 5864452330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Associates, Pc 18263 E 10 Mile Rd Ste B Roseville MI 48066-5805 Ph: (586) 445-2330 | Primary Care Associates, Pc 18263 E 10 Mile Rd Ste B Roseville MI 48066-5805 Ph: (586) 445-2330 |
| NPI Number | 1336175041 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 04/15/2019 |
| Medicare PECOS PAC ID | 7911939954 |
|---|---|
| Medicare Enrollment ID | O20050909000855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336175041 | NPI | - | NPPES |
| 3232662 | Medicaid | MI | |
| DM038055 | Other | MI | STATE LICENSE |
| 1105016431 | Other | MI | BCBSM |
| GM048923 | Other | MI | STATE LICENSE |
| 2708570 | Medicaid | MI | |
| 110042849 | Other | RAILROAD MEDICARE | |
| 1105017110 | Other | MI | BCBSM |
| 110131072 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | GM048923 (Michigan) | Primary |
| Provider Name | Gregory G Montpetit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699790626 PECOS PAC ID: 8729010764 Enrollment ID: I20050912000447 |
| Provider Name | Amine Pierre Amine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861812828 PECOS PAC ID: 6305118175 Enrollment ID: I20170815001598 |
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