| Lauren Ashley Nickerson, NP-C | |
|
6152 Bellows Lake Rd, Lake Ann, MI 49650-9713 | |
| (313) 590-2631 | |
| Not Available |
| Full Name | Lauren Ashley Nickerson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 6152 Bellows Lake Rd, Lake Ann, 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 |
|---|---|---|---|
| 1467113399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704275084 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Munson Medical Center | Traverse city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Interlochen Emergency Group Pc | 3577918606 | 45 |
| Entity Name | Munson Healthcare Cadillac |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336539063 PECOS PAC ID: 6305161514 Enrollment ID: O20150401000808 |
| Entity Name | Caberfae Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447932504 PECOS PAC ID: 4082069232 Enrollment ID: O20231009002608 |
| Entity Name | Hawk Emergency Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073295135 PECOS PAC ID: 6800241050 Enrollment ID: O20231009002612 |
| Entity Name | Interlochen Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336821495 PECOS PAC ID: 3577918606 Enrollment ID: O20231010002820 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Ashley Nickerson, NP-C 302 Hobart St, Cadillac, MI 49601-2379 Ph: (231) 876-2644 | Lauren Ashley Nickerson, NP-C 6152 Bellows Lake Rd, Lake Ann, MI 49650-9713 Ph: (313) 590-2631 |
Ernest Hromada, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 20838 Red Oak Dr, Lake Ann, MI 49650 Phone: 231-631-3386 |