Diane Anderson, NP | |
1676 Viewpond Dr Se, Suite 100a, Kentwood, MI 49508-4994 | |
(616) 455-9450 | |
(616) 455-5221 |
Full Name | Diane Anderson |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1676 Viewpond Dr Se, Kentwood, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548283062 | NPI | - | NPPES |
4849371 | Medicaid | MI | |
1598853608 | Other | GROUP NPI - JOHN N CAMPBELL MD PC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704101913 (Michigan) | Primary |
Entity Name | Michigan Post-acute Medical Services 1 Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669901567 PECOS PAC ID: 2163798877 Enrollment ID: O20171025001292 |
Mailing Address | Practice Location Address |
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Diane Anderson, NP 1676 Viewpond Dr Se, Suite 100a, Kentwood, MI 49508-4994 Ph: (616) 455-9450 | Diane Anderson, NP 1676 Viewpond Dr Se, Suite 100a, Kentwood, MI 49508-4994 Ph: (616) 455-9450 |
Amber Paige Gall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4444 Kalamazoo Ave Se Ste 200, Kentwood, MI 49508 Phone: 616-391-5600 | |
Godfrey Abuya, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2180 44th St Se Ste 107, Kentwood, MI 49508 Phone: 616-965-6692 | |
Daniel De Young, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4444 Kalamazoo Ave Se, Suite 200, Kentwood, MI 49508 Phone: 616-391-5600 Fax: 616-391-5685 | |
Nichole Elizabeth Washington, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2080 44th St Se, Kentwood, MI 49508 Phone: 616-685-8100 | |
Karen M Revitte, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4600 Breton Rd Se, Suite 102, Kentwood, MI 49508 Phone: 616-391-9700 Fax: 616-391-9707 | |
Jennifer Kay Barone, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4444 Kalamazoo Ave Se Ste 200, Kentwood, MI 49508 Phone: 616-391-5600 |