MEDICARE: ELEVATE WELLNESS GROUP

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1255192712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATE WELLNESS GROUP

Provider Business Mailing Address
First Line	:	1221 BOWERS ST UNIT 170
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48012-7114
Country	:	US
Telephone Number	:	248-755-8585
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 BOWERS ST UNIT 170
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48012-7114
Country	:	US
Telephone Number	:	248-755-8585
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELANIE BARBAT
Credential	:
Telephone Number	:	248-755-8585

Provider Enumeration Date	:	01/22/2024
Last Update Date	:	04/03/2024

Similar Medicare Providers

1467408344 — MUHAMMAD K AHSAN MD
Practice Location Address:

1221 BOWERS ST , UNIT 2653
BIRMINGHAM, MI
48012-7107

Practice Phone: 248-200-7756
Practice Fax: 248-281-3535

1629332879 — MRS. SARAH M SMITH LMSW
Practice Location Address:

1221 BOWERS ST UNIT 2230
BIRMINGHAM, MI
48012-7091

Practice Phone: 248-677-1516
Practice Fax:

1821340985 — ADRIANA LIBURDI LMSW
Practice Location Address:

1221 BOWERS ST UNIT 2230
BIRMINGHAM, MI
48012-7091

Practice Phone: 248-677-1516
Practice Fax:

1578922530 — TRACY VADEN
Practice Location Address:

1221 BOWERS ST UNIT 1154
BIRMINGHAM, MI
48012-7046

Practice Phone: 313-617-6888
Practice Fax:

1316737026 — MIRANDA MENNE
Practice Location Address:

PO BOX 2712
BIRMINGHAM, MI
48012-2712

Practice Phone: 586-588-5857
Practice Fax:

1932198512 — DR. PANKAJ HUKKU M.D.
Practice Location Address:

1380 COOLIDGE HWY STE 110
TROY, MI
48084-7067

Practice Phone: 248-280-1867
Practice Fax: 248-280-0222

Directions to “ELEVATE WELLNESS GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.