| Amanda Graham, FNP | |
|
6297 Dixie Hwy, Bridgeport, MI 48722-9635 | |
| (989) 759-6460 | |
| (989) 759-6465 |
| Full Name | Amanda Graham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 6297 Dixie Hwy, Bridgeport, 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 |
|---|---|---|---|
| 1447500137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704260551 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Covenant Medical Center | Saginaw, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Lakes Bay Health Centers | 2466369046 | 72 |
| Entity Name | Great Lakes Bay Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871684761 PECOS PAC ID: 2466369046 Enrollment ID: O20040126000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Graham, FNP 501 Lapeer Ave, Saginaw, MI 48607-1208 Ph: (989) 759-6464 | Amanda Graham, FNP 6297 Dixie Hwy, Bridgeport, MI 48722-9635 Ph: (989) 759-6460 |
Steven Ochoa, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6297 Dixie Hwy, Bridgeport, MI 48722 Phone: 989-759-6460 | |
Ms. Dakima Lisa Bridges, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6297 Dixie Hwy, Bridgeport, MI 48722 Phone: 989-759-6460 Fax: 989-759-6465 | |
Lori Jones, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6940 Dixie Hwy, Bridgeport, MI 48722 Phone: 989-746-0933 Fax: 989-746-5070 | |
Devona Jayleen Noel Showerman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6940 Dixie Hwy, Bridgeport, MI 48722 Phone: 989-746-0933 |