| Dr Nichole Kathleen Lavanway, MD | |
|
1500 E Medical Center Dr, B1-380 Tc, Ann Arbor, MI 48109-0999 | |
| (734) 763-7919 | |
| (734) 763-9298 |
| Full Name | Dr Nichole Kathleen Lavanway |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 19 Years |
| Location | 1500 E Medical Center Dr, Ann Arbor, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578680278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01082995A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 036125024 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent Hospital | Indianapolis, IN | Hospital |
| Advocate Sherman Hospital | Elgin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cepamerica Illinois Llp | 3274793633 | 449 |
| Cep America Llc | 6608056171 | 732 |
| Vituity-wisconsin Em Sc | 2466814538 | 48 |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Entity Name | Vituity - Illinois Auc Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306334198 PECOS PAC ID: 0547516932 Enrollment ID: O20180627000637 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nichole Kathleen Lavanway, MD 5690 Hampshire Ln, Ypsilanti, MI 48197-3203 Ph: (708) 369-2423 | Dr Nichole Kathleen Lavanway, MD 1500 E Medical Center Dr, B1-380 Tc, Ann Arbor, MI 48109-0999 Ph: (734) 763-7919 |
Paul S Jansson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Sarah Whitney Tehranisa, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Timothy Patrick Visclosky, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Phillip Alton Scott, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Kylee E Phillips, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Drive, B1 Floor University Hospital Recp Emergency, Ann Arbor, MI 48109 Phone: 734-936-6666 | |
Rebecca Anne Otten, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E. Medical Center Drive, B1-380 Tc, Ann Arbor, MI 48109 Phone: 734-763-7919 Fax: 734-763-9298 | |
Abhinav Nafday, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Drive, Ann Arbor, MI 48109 Phone: 734-763-7919 Fax: 734-763-9298 |