| Alicia Jean Lane, MSN, RN, FNP-C | |
|
520 Main St, Dowagiac, MI 49047-1762 | |
| (269) 783-3052 | |
| Not Available |
| Full Name | Alicia Jean Lane |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 520 Main St, Dowagiac, 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 |
|---|---|---|---|
| 1154982783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704343669 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Borgess Medical Center | Kalamazoo, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group Promed | 7315856077 | 233 |
| 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 |
| Entity Name | Ascension Medical Group Promed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Jean Lane, MSN, RN, FNP-C 1014 Westmoreland Ave, Kalamazoo, MI 49006-5544 Ph: (517) 494-0833 | Alicia Jean Lane, MSN, RN, FNP-C 520 Main St, Dowagiac, MI 49047-1762 Ph: (269) 783-3052 |
Shirley Grassflower, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 57392 M 51 S, Dowagiac, MI 49047 Phone: 269-782-4141 Fax: 269-782-8797 | |
Heather Cook-sinden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55432 Colby St, Dowagiac, MI 49047 Phone: 800-979-9595 | |
Misty Rae Ledesma, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 32652 Kno, Dowagiac, MI 49047 Phone: 269-782-4141 Fax: 269-783-1236 | |
Erica Rogers, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 Main St, Dowagiac, MI 49047 Phone: 269-783-3052 Fax: 269-783-2074 | |
Marcy Parisi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 32652 Kno Drive, Dowagiac, MI 49047 Phone: 269-782-4141 Fax: 269-783-1236 | |
Michelle Marie Cockey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 32652 Kno Drive, Dowagiac, MI 49047 Phone: 269-782-4141 Fax: 269-783-1236 |