St Mary Mercy Physician Practices - Medicare Primary Care in Livonia, MI

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St Mary Mercy Physician Practices is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Livonia, Michigan. The current practice location for St Mary Mercy Physician Practices is 36475 5 Mile Rd, Livonia, Michigan. For appointments, you can reach them via phone at (734) 655-4800. The mailing address for St Mary Mercy Physician Practices is 20555 Victor Pkwy, Attn: Se Mi Shared Servicesw3d Chetrinity Health, Livonia, Michigan and phone number is (734) 343-0282.

St Mary Mercy Physician Practices is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1568630077. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (734) 655-4800.

Contact Information

St Mary Mercy Physician Practices
36475 5 Mile Rd
Livonia
MI 48154-1971
(734) 655-4800
(734) 655-2609

Map and Direction


Primary Care Clinic Profile

Full NameSt Mary Mercy Physician Practices
SpecialityClinic/Center
Location36475 5 Mile Rd, Livonia, Michigan
Authorized Official Name and PositionDavid Spivey (PRESIDENT & CEO)
Authorized Official Contact7346551610
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
St Mary Mercy Physician Practices
20555 Victor Pkwy
Attn: Se Mi Shared Servicesw3d Chetrinity Health
Livonia
MI 48152-7031

Ph: (734) 343-0282		St Mary Mercy Physician Practices
36475 5 Mile Rd
Livonia
MI 48154-1971

Ph: (734) 655-4800

NPI Details:

NPI Number1568630077
Provider Enumeration Date02/19/2008
Last Update Date11/03/2015

Medicare PECOS Information:

Medicare PECOS PAC ID4587742804
Medicare Enrollment IDO20080425000614

Medical Identifiers

Medical identifiers for St Mary Mercy Physician Practices such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568630077NPI-NPPES
010H233560OtherMIBCBS-MI PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. St Mary Mercy Physician Practices acts as a billing entity for following providers:
Provider NameRandall A Bickle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861462830
PECOS PAC ID: 7719974062
Enrollment ID: I20040428001194
Provider NameAnthony Vettraino
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598811853
PECOS PAC ID: 6901894831
Enrollment ID: I20040430001283
Provider NameCarla Jean Groh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821180274
PECOS PAC ID: 3577547769
Enrollment ID: I20040615001515
Provider NameRobert C Brock
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891767695
PECOS PAC ID: 9436190253
Enrollment ID: I20050520000937
Provider NameTallal M Zeni
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1619995529
PECOS PAC ID: 1254376866
Enrollment ID: I20050623001029
Provider NameKalappurackal C Joseph
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1922195999
PECOS PAC ID: 5092610725
Enrollment ID: I20051114000595
Provider NameSteven J Karageanes
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1447293360
PECOS PAC ID: 4385653260
Enrollment ID: I20060420000666
Provider NameRamneet K Mangat
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1851316657
PECOS PAC ID: 0648274779
Enrollment ID: I20060905000073
Provider NameRamesh K Mohindra
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1407827280
PECOS PAC ID: 1456446715
Enrollment ID: I20071001000769
Provider NameNeesha Rochelle Berry
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134320930
PECOS PAC ID: 1850489105
Enrollment ID: I20071120000291
Provider NameDurga K Yerasuri
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1851585582
PECOS PAC ID: 0244320182
Enrollment ID: I20071217000144
Provider NameRichard N Mark
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649244286
PECOS PAC ID: 1254416019
Enrollment ID: I20080304000852
Provider NameJowher W Khaleel
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1174571947
PECOS PAC ID: 7113096116
Enrollment ID: I20080516000307
Provider NameMichael M Gatt
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1568447050
PECOS PAC ID: 2567531577
Enrollment ID: I20080516000417
Provider NameSrinivasa R Kodali
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1255372058
PECOS PAC ID: 3779653563
Enrollment ID: I20080605000403
Provider NameTracy A Threat
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891951711
PECOS PAC ID: 7810057726
Enrollment ID: I20081122000092
Provider NameJohn J Obrien
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1619088218
PECOS PAC ID: 8022087584
Enrollment ID: I20090521000263
Provider NameAnil K Jain
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1013027309
PECOS PAC ID: 0840341905
Enrollment ID: I20090701000018
Provider NameJacob Roberts
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1831218817
PECOS PAC ID: 9638225949
Enrollment ID: I20090928000443
Provider NameJohn Robert Krausman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023118312
PECOS PAC ID: 6608914882
Enrollment ID: I20091109000255
Provider NameRatna Zampani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568454254
PECOS PAC ID: 5597865998
Enrollment ID: I20100204000765
Provider NamePrasad L Mikkilineni
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871585562
PECOS PAC ID: 2961502364
Enrollment ID: I20100204000787
Provider NameDerek G Desouza
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679565378
PECOS PAC ID: 4688774086
Enrollment ID: I20100204000823
Provider NameGregory A Monroe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598735557
PECOS PAC ID: 6406991389
Enrollment ID: I20100303000405
Provider NameManzar Y Rajput
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1851358527
PECOS PAC ID: 9335277987
Enrollment ID: I20100503000513
Provider NameThomas Malcolm Scott
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467440297
PECOS PAC ID: 5991835746
Enrollment ID: I20100604001083
Provider NameShyran J Hines-fenderson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1699933721
PECOS PAC ID: 3274727862
Enrollment ID: I20101027001076
Provider NameJenny Phu Shih
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457511040
PECOS PAC ID: 9830386887
Enrollment ID: I20101203000272
Provider NameErin C Walton Doyle
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1427256460
PECOS PAC ID: 1951589902
Enrollment ID: I20110622000649
Provider NameJoan M Moccia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528365889
PECOS PAC ID: 1254519069
Enrollment ID: I20110627000525
Provider NameHelen M Burns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821382979
PECOS PAC ID: 6406020932
Enrollment ID: I20111119000081
Provider NameBruce M Gimbel
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1669484887
PECOS PAC ID: 0345403358
Enrollment ID: I20120531000050
Provider NameWilliam S Cardasis
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1326198276
PECOS PAC ID: 0941464549
Enrollment ID: I20120612000072
Provider NameTerri L Mack
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851410617
PECOS PAC ID: 8729242870
Enrollment ID: I20120621000177
Provider NameBarbra R Alvir
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376664813
PECOS PAC ID: 8921230111
Enrollment ID: I20140423000739
Provider NameSamuel H Wedes
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1194031062
PECOS PAC ID: 8527286764
Enrollment ID: I20140829000142
Provider NameShahbaz Shahid Nisar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659647717
PECOS PAC ID: 6103137492
Enrollment ID: I20150612000163
Provider NameSalim A Hamadeh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194024364
PECOS PAC ID: 7113230475
Enrollment ID: I20150716001146
Provider NameMark A Jonker
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1780620039
PECOS PAC ID: 1355587080
Enrollment ID: I20151008000568
Provider NameJames C Segerson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467480186
PECOS PAC ID: 4688979719
Enrollment ID: I20160226000945
Provider NameNatalie L Crook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477929255
PECOS PAC ID: 8123326907
Enrollment ID: I20160412000084
Provider NameBrandon G Moore
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1083902977
PECOS PAC ID: 7517197692
Enrollment ID: I20160721002552
Provider NameEric Davies
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1427374917
PECOS PAC ID: 3870738263
Enrollment ID: I20160810001973
Provider NameMeredith Chapel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093267353
PECOS PAC ID: 2163701558
Enrollment ID: I20161107001596
Provider NameMargaret Wells
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265552004
PECOS PAC ID: 0840519633
Enrollment ID: I20170404000458
Provider NameMargaret Ann Meyers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609884626
PECOS PAC ID: 1658698733
Enrollment ID: I20170404000787
Provider NamePamela B Williams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821191180
PECOS PAC ID: 7911224894
Enrollment ID: I20170404000948
Provider NameCheryl Ann Cascio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093248916
PECOS PAC ID: 5799054078
Enrollment ID: I20170629001080
Provider NameRachel B Marcucci
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902167737
PECOS PAC ID: 7416251244
Enrollment ID: I20170831001671
Provider NameJessica M O'mara
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457766917
PECOS PAC ID: 5890090914
Enrollment ID: I20170914000352
Provider NameAlan Sabah Putrus
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366784001
PECOS PAC ID: 3274844329
Enrollment ID: I20170922002819
Provider NameLouis C Cavadini
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023422128
PECOS PAC ID: 1153546486
Enrollment ID: I20171012001531
Provider NameChelsey Christen Forry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396182648
PECOS PAC ID: 4789968694
Enrollment ID: I20180504000269
Provider NameBiju Poulose
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1760876601
PECOS PAC ID: 1557663259
Enrollment ID: I20180613002022
Provider NameAimee H Dereczyk
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972921757
PECOS PAC ID: 8921304189
Enrollment ID: I20180621000287
Provider NameRonald M Liebman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1649698135
PECOS PAC ID: 7012210495
Enrollment ID: I20180820001963
Provider NameKayla S Garrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447754627
PECOS PAC ID: 2769727858
Enrollment ID: I20181218001866
Provider NameKimberly Pike-moesta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700358975
PECOS PAC ID: 5890032718
Enrollment ID: I20190130000424
Provider NameKevin Sethi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1922480680
PECOS PAC ID: 8921318346
Enrollment ID: I20190208002500
Provider NameAmanda J. Warren
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205229036
PECOS PAC ID: 2466795315
Enrollment ID: I20190517000221
Provider NameRenee L Bayer
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1114312634
PECOS PAC ID: 5294044020
Enrollment ID: I20190624003316
Provider NameCourtney Paladino
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023453453
PECOS PAC ID: 7618207895
Enrollment ID: I20191002000121
Provider NameKaramjeet K Sandhu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164811204
PECOS PAC ID: 4385076389
Enrollment ID: I20191113000642
Provider NameCayla Marie Yuhn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194283200
PECOS PAC ID: 8022430172
Enrollment ID: I20200619000228
Provider NameDanielle P Zazaian
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1902336100
PECOS PAC ID: 5698045144
Enrollment ID: I20210520000757
Provider NameLorna Blakian Burns
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801465034
PECOS PAC ID: 1153724299
Enrollment ID: I20210727000972
Provider NameMohammad T Rauf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134582737
PECOS PAC ID: 1759671415
Enrollment ID: I20220111000440

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.