MEDICARE: WORKIT HEALTH MI PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center
2	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1174198568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORKIT HEALTH MI PLLC

Provider Business Mailing Address
First Line	:	PO BOX 96357
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85072-6357
Country	:	US
Telephone Number	:	855-408-1143
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 BISHOP ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-6400
Country	:	US
Telephone Number	:	734-373-0849
Fax Number	:

Authorized Official
Title or Position	:	SR. RCM MANAGER
Name	:	AUDRA FICKEN
Credential	:
Telephone Number	:	855-408-1143

Provider Enumeration Date	:	05/26/2021
Last Update Date	:	01/23/2026

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