Gwendolyn Payne (NPI# 1801343942, PAC ID# 9537443742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1801343942 |
| PAC ID by PECOS | 9537443742 |
| Professional Enrollment ID | I20170308001087 |
| Full Name | Gwendolyn Payne |
| Organization Legal Name | SELF AND FAMILY ENTERPRISES LLC |
| Address |
7521 N Telegraph Rd Suite 1 Newport MI 48166-9398 |
| Phone Number | 7345860031 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6103984620 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230099 | PROMEDICA MONROE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7521 N Telegraph Rd, Suite 1, Newport, MI 48166-9398 | 7345860031 | SELF AND FAMILY ENTERPRISES LLC |
| Organization Legal Name | SELF AND FAMILY ENTERPRISES LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee Harris | Psychiatry | Self and Family Enterprises LLC | 7521 N Telegraph Rd, Suite 1, Newport, MI 48166-9398 |
| Ralph L Hutchison | Psychologist, Clinical | Self and Family Enterprises LLC | 7521 N Telegraph Rd, Suite 1, Newport, MI 48166-9398 |
| Street Address |
7521 N TELEGRAPH RD SUITE 1 |
| City | NEWPORT |
| State | MI |
| Zip | 48166-9398 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee Harris | Psychiatry | Self and Family Enterprises LLC | 7521 N Telegraph Rd, Suite 1, Newport, MI 48166-9398 |
| Ralph L Hutchison | Psychologist, Clinical | Self and Family Enterprises LLC | 7521 N Telegraph Rd, Suite 1, Newport, MI 48166-9398 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas E Boggs | Family Medicine | Oakwood Ambulatory LLC | 3132 Newport Rd, Newport, MI 48166-6100 |
| Kathryn Ackers | Nurse Practitioner | Oakwood Ambulatory LLC | 3132 Newport Rd, Newport, MI 48166-6100 |
| Danilo A Dona | Family Medicine | 7505 Grafton Rd, Suite 1, Newport, MI 48166-8939 | |
| Bruce B Feyz | Cardiovascular Disease (cardiology) | 7505 Grafton Rd, Newport, MI 48166-8939 | |
| Nicholas John Odette | Chiropractic | 8718 Swan Creek Rd, Newport, MI 48166-9273 | |
| Michael Anthony Tilson | Family Medicine | Promedica Monroe Physicians Pllc | 7825 N Dixie Hwy 101, Promedica Physicians Family Medicin, Newport, MI 48166-9750 |
| Stephen R Bell | Internal Medicine | 7825n Dixie Hwy, Newport, MI 48166-9750 |
| City | NEWPORT |
| Zip Code | 48166 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEWPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Gwendolyn Payne.
| 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.