| Colleen Elizabeth Tillema, FNP | |
|
7128 Fulton St E, Ada, MI 49301-8413 | |
| (616) 825-3530 | |
| Not Available |
| Full Name | Colleen Elizabeth Tillema |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 7128 Fulton St E, Ada, 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 |
|---|---|---|---|
| 1720503329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704297552 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Health | Grand rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Physical Rehabilitation And Therapy Lp | 0941513303 | 225 |
| Spectrum Health Primary Care Partners | 4587568647 | 1735 |
| Center For Physical Rehabilitation Inc | 6901717768 | 217 |
| Entity Name | Spectrum Health Primary Care Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Entity Name | Family Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811065576 PECOS PAC ID: 1759370216 Enrollment ID: O20040510000899 |
| Entity Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Elizabeth Tillema, FNP 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Colleen Elizabeth Tillema, FNP 7128 Fulton St E, Ada, MI 49301-8413 Ph: (616) 825-3530 |
Ethan Brent Cunningham, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 523 Edgeworthe Dr Se, Ada, MI 49301 Phone: 616-745-8097 | |
Amy Renae Bell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7128 Fulton St E, Ada, MI 49301 Phone: 616-825-3530 Fax: 616-825-3535 | |
Melissa Britton Roberts, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8261 Revado Hills Ct, Ada, MI 49301 Phone: 616-916-3046 | |
Mrs. Michelle Lynn Degraaf, MSN, ANP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 989 Spaulding Ave Se, Ada, MI 49301 Phone: 616-481-6877 | |
Jennifer Lynne Dykstra, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7128 Fulton St E, Ada, MI 49301 Phone: 616-825-3530 | |
Rachel Kloosterman, MSN RN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6741 Fulton St E, Ada, MI 49301 Phone: 616-320-5330 Fax: 616-320-5331 |