MEDICARE: SERENITY PHYSICIANS

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	302R00000X	Health Maintenance Organization	4301028439	MI

General Provider Information

NPI Number	:	1295758159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY PHYSICIANS

Provider Business Mailing Address
First Line	:	1009 DREXEL ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48128-1639
Country	:	US
Telephone Number	:	313-429-6164
Fax Number	:

Provider Business Practice Location Address
First Line	:	1009 DREXEL ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48128-1639
Country	:	US
Telephone Number	:	313-429-3164
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. RITA D ROGERS
Credential	:
Telephone Number	:	31342393164

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1861591687 — SERENITY PHYSICIAN
Practice Location Address:

1009 DREXEL ST
DEARBORN, MI
48128-1639

Practice Phone: 313-429-3164
Practice Fax: 313-429-3165

1760699979 — RITA D ROGERS
Practice Location Address:

1009 DREXEL ST
DEARBORN, MI
48128-1639

Practice Phone: 313-429-3164
Practice Fax: 313-429-3165

1649118977 — OMAR ABDELSALAM
Practice Location Address:

501 S HIGHLAND ST
DEARBORN, MI
48124-1639

Practice Phone: 313-377-5136
Practice Fax:

1821068537 — DEARBORN MEDICAL WALKIN CLINIC
Practice Location Address:

2220 N TELEGRAPH RD
DEARBORN, MI
48128-2213

Practice Phone: 313-563-4506
Practice Fax: 313-563-8443

1053383521 — DR. MICHELLE LYNN ELFORD DDS
Practice Location Address:

18540 W OUTER DR , STE 3
DEARBORN, MI
48128

Practice Phone: 313-562-0100
Practice Fax: 313-562-2041

1285693564 — DR. PATRICIA ISABEL BOYLE DDS
Practice Location Address:

18514 OUTER DR
DEARBORN, MI
48128-1874

Practice Phone: 313-565-5104
Practice Fax: 313-565-5106

Directions to “SERENITY PHYSICIANS ” 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.