| Beverly R Baldwin, NP-C | |
|
7310 Garden Ln, Portage, MI 49002-4458 | |
| (269) 459-6010 | |
| Not Available |
| Full Name | Beverly R Baldwin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 7310 Garden Ln, Portage, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255926259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71012645A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704313314 (Michigan) | Primary |
| Entity Name | Cleanslate Medical Group Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly R Baldwin, NP-C 7310 Garden Ln, Portage, MI 49002-4458 Ph: (269) 584-0121 | Beverly R Baldwin, NP-C 7310 Garden Ln, Portage, MI 49002-4458 Ph: (269) 459-6010 |
Mrs. April Klavinger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-324-8600 | |
Miss Manjerngie Cecelia Ndebe, FNP-C, PHD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 451 W. Milham Ave, Portage, MI 49024 Phone: 269-488-9008 Fax: 269-488-9001 | |
Maria Anna Csiszar, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3770 Glenkerry Ct, Portage, MI 49024 Phone: 269-329-2887 Fax: 269-329-2805 | |
Kelsey Lankford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-324-8600 | |
Jonathan Nykamp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 S 12th St, Portage, MI 49024 Phone: 269-978-0444 Fax: 269-978-0447 | |
Christina M Kemple, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7775 Angling Rd, Portage, MI 49024 Phone: 269-324-8670 | |
Ronald Ken Ladouce, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3304 Cooley Ct, Portage, MI 49024 Phone: 269-341-6736 |