Marcus Macdonald, NP
Nurse Practitioner in Redford, MI. Individual provider (NPI-1).
NPI number1194471763
StatusActive
Last updated in NPPESFeb 23, 2022
Details
- NPI
- 1194471763
- Entity type
- Individual (NPI-1)
- Name
- Marcus Macdonald
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2022
- Certification date
- Feb 23, 2022
- Last updated
- Feb 23, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704314802 | MI | Yes |
Practice location
14671 Telegraph RdRedford, MI 48239-3300
Phone 313-948-3055
Mailing address
14671 Telegraph RdRedford, MI 48239-3300
Phone 313-948-3055
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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