MEDICARE: REGENTS OF THE UNIVERSITY OF MICHIGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	335E00000X	Prosthetic/Orthotic Supplier
3	332BC3200X	Customized Equipment (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0991304	OTHER	MI	HEALTH PLUS OF MICHIGAN
2	3175775722	OTHER	MI	HEALTH ALLIANCE PLAN
3	54OH104250	OTHER	MI	BCBS OF MICHIGAN
4	487666400	OTHER	KY	FEDERAL OFFICE OF WORKER
5	5808046	OTHER	CO	BENESIGHT
6	DM810014	OTHER	MI	MCARE
7	487666400	OTHER	AZ	FIRST HEALTH
8	5022014	OTHER	TX	UNITED HEALTHCARE
9	7266723	OTHER	TX	AETNA
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	037559000307	OTHER	SC	PLANNED ADMINISTRATORS
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	1434	OTHER	MI	NORTHWOOD
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	1434	OTHER	MI	AAA NORTHWOOD

General Provider Information

NPI Number	:	1518918069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGENTS OF THE UNIVERSITY OF MICHIGAN

Provider Business Mailing Address
First Line	:	PO BOX 223200
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-2200
Country	:	US
Telephone Number	:	734-971-8286
Fax Number	:	734-971-8922

Provider Business Practice Location Address
First Line	:	2850 S INDUSTRIAL HWY
Second Line	:	SUITE 200
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-6796
Country	:	US
Telephone Number	:	734-971-8286
Fax Number	:	734-971-8922

Authorized Official
Title or Position	:	PE SPECIALIST
Name	:	DAVID CHRISTOPHER MILLER
Credential	:	MD
Telephone Number	:	734-936-3568

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	04/09/2021

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Practice Location Address:

2850 S INDUSTRIAL HWY , SUITE 400
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1619929460 — MICHIGAN VISITING NURSE CORPORATION
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1063465607 — REGENTS OF THE UNIVERSITY OF MICHIGAN
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1245312123 — SONYA R MILLER MD
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