| Nichole Elyse Canepa, MD | |
|
275 Michigan St Ne, Grand Rapids, MI 49503-2531 | |
| (616) 391-6243 | |
| Not Available |
| Full Name | Nichole Elyse Canepa |
|---|---|
| Gender | Female |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 7 Years |
| Location | 275 Michigan St Ne, Grand Rapids, 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 |
|---|---|---|---|
| 1841750114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 4301516909 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic | 1850203555 | 6954 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Nichole Elyse Canepa, MD 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: Not Available | Nichole Elyse Canepa, MD 275 Michigan St Ne, Grand Rapids, MI 49503-2531 Ph: (616) 391-6243 |
Mr. Steven Loren Ringler, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 220 Lyon St Nw, Ste 700, Grand Rapids, MI 49503 Phone: 616-451-4500 Fax: 616-451-9077 |
Dr. Robyn Sackeyfio, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 E Paris Ave Se, Suite 221, Grand Rapids, MI 49546 Phone: 616-222-0770 |
Mark R Dehaan, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525 Phone: 616-459-7101 Fax: 616-464-6170 |
Dr. David R Alfonso, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 220 Lyon St Nw, Suite 700, Grand Rapids, MI 49503 Phone: 616-451-4500 Fax: 616-451-9077 |
Reece Moore, MD Plastic Surgery Medicare: May Accept Medicare Assignments Practice Location: 275 Michigan St Ne Fl 9, Grand Rapids, MI 49503 Phone: 866-989-7999 |
Humza Nadeem Mirza, MD, MS Plastic Surgery Medicare: Medicare Enrolled Practice Location: 275 Michigan St Ne Fl 9, Grand Rapids, MI 49503 Phone: 616-391-6243 Fax: 616-391-8612 |
Miss Nina Rae Livermore, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 275 Michigan St Ne Fl 9, Grand Rapids, MI 49503 Phone: 616-391-6243 Fax: 616-391-8612 |