| Emily Rose Vidri, | |
|
2680 Leonard St Ne Ste 3, Grand Rapids, MI 49525-6902 | |
| (616) 317-7246 | |
| (616) 920-6540 |
| Full Name | Emily Rose Vidri |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 2680 Leonard St Ne Ste 3, Grand Rapids, Michigan |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093422172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 4704319248 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Beaumont Troy Hospital | Troy, MI | Hospital |
| Corewell Health William Beaumont University Hospit | Royal oak, MI | Hospital |
| Corewell Health Beaumont Grosse Pointe Hospital | Grosse pointe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nsa Pain Services Of Michigan Iii, Pllc | 8921428996 | 18 |
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 561 |
| 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 |
| Entity Name | Northstar Anesthesia of Michigan III PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Entity Name | Nsa Pain Services of Michigan III, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376169524 PECOS PAC ID: 8921428996 Enrollment ID: O20201013000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Rose Vidri, 7943 Kirkwood Trl Se, Alto, MI 49302-8974 Ph: (616) 307-1911 | Emily Rose Vidri, 2680 Leonard St Ne Ste 3, Grand Rapids, MI 49525-6902 Ph: (616) 317-7246 |
Paul Dieleman, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1131 Ionia Ave Nw, Grand Rapids, MI 49503 Phone: 616-259-7900 Fax: 616-259-7909 |
Dr. Katherine E. Kunnen, DNP, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3300 36th St Se, Grand Rapids, MI 49512 Phone: 616-942-2110 Fax: 616-942-9548 |
Vanessa Rae Smitko, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860 |
Khira Lauren Benson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150 |
Ms. Marissa Claire Niemeyer, MSN, AGPCNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503 Phone: 616-391-9945 |
Cassandra Cummings, DNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-486-6790 |
Anne Therese Beauchamp, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 Medical Park Dr Se, Grand Rapids, MI 49546 Phone: 616-942-9610 |