| Angelique Madison, FNP | |
|
400 Medical Park Dr, Watervliet, MI 49098-9225 | |
| (269) 463-3600 | |
| Not Available |
| Full Name | Angelique Madison |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 400 Medical Park Dr, Watervliet, 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 |
|---|---|---|---|
| 1417358995 | NPI | - | NPPES |
| 1417358995 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704253993 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Medical Practices | 1658427042 | 252 |
| Lakeland Hospitals At Niles And St Joseph, Inc | 7517929037 | 123 |
| Entity Name | Lakeland Community Hospital Watervliet |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023114741 PECOS PAC ID: 7416942750 Enrollment ID: O20040416000984 |
| Entity Name | Lakeland Hospitals At Niles And St Joseph Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172 |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelique Madison, FNP 6701 Paw Paw Ave, Coloma, MI 49038-9519 Ph: (269) 463-3000 | Angelique Madison, FNP 400 Medical Park Dr, Watervliet, MI 49098-9225 Ph: (269) 463-3600 |
Joseph Mashni, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 460 Medical Park Dr Ste 200, Watervliet, MI 49098 Phone: 269-463-3600 Fax: 269-463-8206 | |
Sabina J Bett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Park Dr, Watervliet, MI 49098 Phone: 269-985-4467 Fax: 269-429-5606 |