| Leah Marie Gaeth, | |
|
2175 N Fordney Rd, Hemlock, MI 48626-9458 | |
| (989) 573-2279 | |
| Not Available |
| Full Name | Leah Marie Gaeth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2175 N Fordney Rd, Hemlock, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003532904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704306965 (Michigan) | Primary |
| Entity Name | Molina Care Connections, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180320001095 |
| Mailing Address | Practice Location Address |
|---|---|
| Leah Marie Gaeth, 2175 N Fordney Rd, Hemlock, MI 48626-9458 Ph: (989) 573-2279 | Leah Marie Gaeth, 2175 N Fordney Rd, Hemlock, MI 48626-9458 Ph: (989) 573-2279 |
Emily Dawn Sczepanski, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16440 Gratiot Rd, Hemlock, MI 48626 Phone: 989-583-0660 Fax: 989-583-0669 | |
Lisa Bourcier, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16440 Gratiot Rd, Hemlock, MI 48626 Phone: 989-583-0660 Fax: 989-583-0669 | |
Mrs. Mary Elizabeth Pietras, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2137 Laporte Rd, Hemlock, MI 48626 Phone: 989-213-5210 |