| Sigma Haggerty Medical Pa | |
|
21333 Haggerty Rd Suite 150 Novi MI 48375-5510 | |
| (248) 662-0250 | |
| (248) 662-9845 |
| Full Name | Sigma Haggerty Medical Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 21333 Haggerty Rd, Novi, Michigan |
| Authorized Official Name and Position | Thomas M Prose (PRESIDENT) |
| Authorized Official Contact | 2486620250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sigma Haggerty Medical Pa 21333 Haggerty Rd Suite 150 Novi MI 48375-5510 Ph: (248) 662-0250 | Sigma Haggerty Medical Pa 21333 Haggerty Rd Suite 150 Novi MI 48375-5510 Ph: (248) 662-0250 |
| NPI Number | 1699136655 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 03/19/2021 |
| Medicare PECOS PAC ID | 9537467386 |
|---|---|
| Medicare Enrollment ID | O20160412002491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699136655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (Michigan) | Primary |
| 363L00000X | Nurse Practitioner | (Michigan) | Secondary |
| Provider Name | Christina E Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164402871 PECOS PAC ID: 6002713930 Enrollment ID: I20031217000982 |
| Provider Name | Bhikam C Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902856545 PECOS PAC ID: 3476500265 Enrollment ID: I20050404000949 |
| Provider Name | Rebecca J Coccia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881643302 PECOS PAC ID: 8426092693 Enrollment ID: I20050617000810 |
| Provider Name | Luis F Domenech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275694242 PECOS PAC ID: 0446498224 Enrollment ID: I20140304001947 |
| Provider Name | Linda K Slabaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558772913 PECOS PAC ID: 6305061813 Enrollment ID: I20140625001299 |
| Provider Name | Vanessa Osula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225564628 PECOS PAC ID: 5799054003 Enrollment ID: I20170629002343 |
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