Deatra L Young (NPI# 1528187838, PAC ID# 6901956341) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1528187838 |
| PAC ID by PECOS | 6901956341 |
| Professional Enrollment ID | I20090605000543 |
| Full Name | Deatra L Young |
| Organization Legal Name | THE WELLNESS PLAN MEDICAL CENTERS |
| Address |
21040 Greenfield Rd Oak Park MI 48237-3025 |
| Phone Number | 2489676500 |
| Gender | F |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1052380201 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3200 Greenfield Rd, Suite 300, Dearborn, MI 48120-1800 | 31333463956395 | PROFESSIONAL HOME DOCTORS |
| 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2489676500 | THE WELLNESS PLAN MEDICAL CENTERS |
| Organization Legal Name | THE WELLNESS PLAN MEDICAL CENTERS |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Inga Monae Leverett | Nurse Practitioner | The Wellness Plan Medical Centers | 4909 E Outer Dr, Detroit, MI 48234-3446 |
| Lameitre C Lockhart | Obstetrics/gynecology | The Wellness Plan Medical Centers | 2888 W Grand Blvd, Detroit, MI 48202-2612 |
| Ebazare Maria Ayewah | Family Medicine | The Wellness Plan Medical Centers | 2888 W Grand Blvd, Detroit, MI 48202-2612 |
| Katie R Zechar | Internal Medicine | The Wellness Plan Medical Centers | 2888 W Grand Blvd, Detroit, MI 48202-2612 |
| Monica Nicola | Internal Medicine | The Wellness Plan Medical Centers | 44405 Woodward Ave, Suite 13, Pontiac, MI 48341-5023 |
| Tiffany L Sanford | Internal Medicine | The Wellness Plan Medical Centers | 2888 W Grand Blvd, Detroit, MI 48202-2612 |
| Benjamin J Diaczok | Internal Medicine | The Wellness Plan Medical Centers | 2888 W Grand Blvd, Detroit, MI 48202-2612 |
| Jacky T Duong | Internal Medicine | The Wellness Plan Medical Centers | 44405 Woodward Ave, Suite 13, Pontiac, MI 48341-5023 |
| Cheryl E Nickolaou | Nurse Practitioner | The Wellness Plan Medical Centers | 2888 W Grand Blvd, Detroit, MI 48202-2612 |
| Jacita Greve | Nurse Practitioner | The Wellness Plan Medical Centers | 4909 E Outer Dr, Detroit, MI 48234-3446 |
| Street Address |
21040 GREENFIELD RD |
| City | OAK PARK |
| State | MI |
| Zip | 48237-3025 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret L Betts | Internal Medicine | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | |
| Erinma Ezeugwa | Nurse Practitioner | The Wellness Plan Medical Centers | 21040 Greenfield Rd, Oak Park, MI 48237-3025 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Sklar | Clinical Social Worker | 14731 Manhattan Pl, Oak Park, MI 48237-1017 | |
| Daniel S Lazar | Podiatry | 26106 Greenfield Rd, Suite A, Oak Park, MI 48237-1063 | |
| Eric S Mendelsohn | Podiatry | 26106 Greenfield Rd, Suite A, Oak Park, MI 48237-1063 | |
| Nirad Bharat Shah | Physical Therapy | Synergy Rehab Inc | 13631 W 11 Mile Rd, Oak Park, MI 48237-1151 |
| Kunjankumar M Naik | Physical Therapy | Synergy Rehab Inc | 13631 W 11 Mile Rd, Oak Park, MI 48237-1151 |
| Seema Raut | Physical Therapy | Synergy Rehab Inc | 13631 W 11 Mile Rd, Oak Park, MI 48237-1151 |
| Karnik P Shah | Physical Therapy | Synergy Rehab Inc | 13631 W 11 Mile Rd, Oak Park, MI 48237-1151 |
| Tapan K Raut | Physical Therapy | Synergy Rehab Inc | 13631 W 11 Mile Rd, Oak Park, MI 48237-1151 |
| Yelena Israetel | Clinical Social Worker | 14221 Talbot St, Oak Park, MI 48237-1190 | |
| Carla D Brown | Clinical Social Worker | 25900 Greenfield Rd, Suite 320, Oak Park, MI 48237-1267 | |
| Find all physicians in zip 48237 | |||
| City | OAK PARK |
| Zip Code | 48237 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OAK PARK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Deatra L Young.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.