| Nicole Ognjanovski, MD | |
|
2700 E Centre Ave, Portage, MI 49002-5500 | |
| (269) 286-7050 | |
| (269) 286-7051 |
| Full Name | Nicole Ognjanovski |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 2700 E Centre Ave, Portage, 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 |
|---|---|---|---|
| 1427610518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301506257 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Borgess Lee Hospital | Dowagiac, MI | Hospital |
| Borgess Medical Center | Kalamazoo, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Borgess Lee Hospital | 7719881002 | 8 |
| Entity Name | Ascension Borgess Lee Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194717504 PECOS PAC ID: 7719881002 Enrollment ID: O20031119000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Ognjanovski, MD 601 John St, Kalamazoo, MI 49007-5341 Ph: () - | Nicole Ognjanovski, MD 2700 E Centre Ave, Portage, MI 49002-5500 Ph: (269) 286-7050 |
Brandon J Manderle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 E Centre Ave, Portage, MI 49002 Phone: 269-286-7050 | |
Carolyn Von Maur, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Road, Suite B-201, Portage, MI 49024 Phone: 269-324-8600 | |
Dr. Xue Wang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-324-8600 | |
Remnant Mwanahiba, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 E Centre Ave, Portage, MI 49002 Phone: 269-286-7050 | |
Dr. Ann M. Busha, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 W Centre Ave, Portage, MI 49024 Phone: 269-324-8950 Fax: 269-324-2134 | |
Amber Darey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 W Centre Ave, Portage, MI 49024 Phone: 269-324-8950 Fax: 269-324-2134 | |
Lawrence Ulmer, Family Medicine Medicare: Medicare Enrolled Practice Location: 7901 Angling Rd, Suite B-201, Portage, MI 49024 Phone: 269-324-8600 Fax: 269-324-8617 |