| Joseph Mashni, FNP | |
|
460 Medical Park Dr Ste 200, Watervliet, MI 49098-9225 | |
| (269) 463-3600 | |
| (269) 463-8206 |
| Full Name | Joseph Mashni |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 460 Medical Park Dr Ste 200, Watervliet, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265424527 | NPI | - | NPPES |
| 104208690 | Medicaid | MI | |
| 104208705 | Medicaid | MI | |
| 140294150 | Medicaid | MI | |
| 104208723 | Medicaid | MI | |
| 104208714 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 47-04-141572 (Michigan) | Secondary |
| 363L00000X | Nurse Practitioner | 4704141572 (Michigan) | Primary |
| Entity Name | Ascension Borgess Lee Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194717504 PECOS PAC ID: 7719881002 Enrollment ID: O20031119000763 |
| 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 Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Entity Name | Lakeland Community Hospital Watervliet |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538592753 PECOS PAC ID: 7416942750 Enrollment ID: O20131029002202 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Mashni, FNP 460 Medical Park Dr Ste 200, Watervliet, MI 49098-9225 Ph: (269) 463-3600 | Joseph Mashni, FNP 460 Medical Park Dr Ste 200, Watervliet, MI 49098-9225 Ph: (269) 463-3600 |
Angelique Madison, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Park Dr, Watervliet, MI 49098 Phone: 269-463-3600 | |
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 |