| Genna Marie Grondin, NP | |
|
42 N Saint Joseph Ave Ste 100, Niles, MI 49120-2203 | |
| (696) 846-6962 | |
| (269) 687-1798 |
| Full Name | Genna Marie Grondin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 42 N Saint Joseph Ave Ste 100, Niles, 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 |
|---|---|---|---|
| 1073170023 | NPI | - | NPPES |
| 03774317 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 903237 (Mississippi) | Secondary |
| 363L00000X | Nurse Practitioner | 4704386893 (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 |
| 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 |
|---|---|
| Genna Marie Grondin, NP 42 N Saint Joseph Ave Ste 100, Niles, MI 49120-2203 Ph: (696) 846-6962 | Genna Marie Grondin, NP 42 N Saint Joseph Ave Ste 100, Niles, MI 49120-2203 Ph: (696) 846-6962 |
Rebecca L Krzysiak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 N Saint Joseph Ave Ste 101, Niles, MI 49120 Phone: 269-687-4673 Fax: 269-687-1798 | |
Brittany Rachel Nault, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1951 Oak St, Niles, MI 49120 Phone: 269-262-4749 | |
Laurie Ann Gee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120 Phone: 269-687-0808 Fax: 269-687-0811 | |
Elizabeth Zech, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120 Phone: 269-687-0808 Fax: 269-687-0811 | |
Aaron Joseph Lanning, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 Phone: 269-687-2910 Fax: 269-687-8770 | |
Lauren-shylene Luna Toscano, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199 |