| Lacey L Crabb, FNP | |
|
1414 W Fair Ave, Suite 342, Marquette, MI 49855-2675 | |
| (906) 225-3870 | |
| (906) 225-3975 |
| Full Name | Lacey L Crabb |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1414 W Fair Ave, Marquette, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437306321 | NPI | - | NPPES |
| 5008707680 | Other | MI | BLUE CROSS BLUE SHIELD |
| 0870768 | Other | MI | BCBS OF MI |
| 1437306321 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704244170 (Michigan) | Primary |
| 207P00000X | Emergency Medicine | 4704244170 (Michigan) | Secondary |
| Entity Name | Northern Michigan Emergency Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417972183 PECOS PAC ID: 7113910399 Enrollment ID: O20040405000871 |
| Entity Name | Sound Inpatient Physicians-michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639311996 PECOS PAC ID: 5395896849 Enrollment ID: O20090624000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey L Crabb, FNP 1414 W Fair Ave, Suite 342, Marquette, MI 49855-2675 Ph: (906) 225-3870 | Lacey L Crabb, FNP 1414 W Fair Ave, Suite 342, Marquette, MI 49855-2675 Ph: (906) 225-3870 |
Lisa Lee Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave Ste 35, Marquette, MI 49855 Phone: 906-449-1140 Fax: 906-449-1844 | |
Rodney Riesland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, Ste 344, Marquette, MI 49855 Phone: 906-225-3910 Fax: 906-225-4529 | |
Angela J Rose, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, Suite 249, Marquette, MI 49855 Phone: 906-225-3333 Fax: 906-225-3788 | |
Mr. Andrew Gerard Boudreau, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-4531 Fax: 906-225-4807 | |
Edith Elaine Weatherford, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, #226, Marquette, MI 49855 Phone: 906-225-3925 Fax: 906-225-4838 | |
Mrs. Rachel Bonsall, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 | |
Caleb Yeargan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 |