| Vivica J Fitzpatrick-sherman, MD | |
|
2864 Ashmun Street, Sault Tribal Health Center, Sault Sainte Marie, MI 49783 | |
| (906) 632-5200 | |
| (906) 632-5276 |
| Full Name | Vivica J Fitzpatrick-sherman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2864 Ashmun Street, Sault Sainte Marie, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386699791 | NPI | - | NPPES |
| 080A760010 | Other | MI | BCBS |
| 1969581 | Medicaid | MI | |
| 4410400 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301053961 (Michigan) | Primary |
| Entity Name | Sault Tribe Of Chippewa Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477721058 PECOS PAC ID: 7012982937 Enrollment ID: O20040901001322 |
| Mailing Address | Practice Location Address |
|---|---|
| Vivica J Fitzpatrick-sherman, MD 2864 Ashmun Street, Sault Ste Marie, MI 49783 Ph: (906) 632-5200 | Vivica J Fitzpatrick-sherman, MD 2864 Ashmun Street, Sault Tribal Health Center, Sault Sainte Marie, MI 49783 Ph: (906) 632-5200 |
Dr. Robert John Beckman, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 509 Osborn Blvd, Suite 320, Sault Sainte Marie, MI 49783 Phone: 906-253-2605 Fax: 906-253-2773 | |
Gabriela Maria Deoliveira, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 550 Osborn Blvd, Ste 1006, Sault Sainte Marie, MI 49783 Phone: 906-253-2665 | |
Patricia Ann Newhouse, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 509 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-253-2605 |