| Dr Stephanie Marie Nelson, DO | |
|
1414 W Fair Ave, Suite 226, Marquette, MI 49855-2675 | |
| (906) 225-3925 | |
| (906) 225-4838 |
| Full Name | Dr Stephanie Marie Nelson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1414 W Fair Ave, Marquette, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245518521 | NPI | - | NPPES |
| 1245518521 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 5101019369 (Michigan) | Primary |
| Entity Name | Dlp Marquette Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
| Entity Name | Bell Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578992491 PECOS PAC ID: 4981833654 Enrollment ID: O20140130000127 |
| Entity Name | Acquisition Bell Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699101345 PECOS PAC ID: 3971730987 Enrollment ID: O20140311000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephanie Marie Nelson, DO 26374 Network Pl, Chicago, IL 60673-1263 Ph: (906) 225-3630 | Dr Stephanie Marie Nelson, DO 1414 W Fair Ave, Suite 226, Marquette, MI 49855-2675 Ph: (906) 225-3925 |
Dr. Maggie Chen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 | |
Chasity C Caperton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave Ste 226, Marquette, MI 49855 Phone: 906-449-1240 | |
James Lee Christiansen, Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 West Fair Ave, Ste 334, Marquette, MI 49855 Phone: 906-225-3870 Fax: 906-225-4861 | |
George Michael Nidiffer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, #226, Marquette, MI 49855 Phone: 906-225-3925 Fax: 906-225-4838 | |
Dr. Francis P Darr, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave Ste 226, Marquette, MI 49855 Phone: 906-225-3925 Fax: 906-225-4838 | |
Amy Martyanov, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3993 |