| Leslie S Wooldridge, NP | |
|
6401 Prairie St, Suite 1700, Norton Shores, MI 49444-7840 | |
| (231) 727-7944 | |
| (231) 724-7812 |
| Full Name | Leslie S Wooldridge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 6401 Prairie St, Norton Shores, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144264821 | NPI | - | NPPES |
| 4837110 | Medicaid | MI | |
| MI1763011 | Other | MI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704099434 (Michigan) | Primary |
| Entity Name | Michigan Post-acute Medical Services 1 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669901567 PECOS PAC ID: 2163798877 Enrollment ID: O20171025001292 |
| Entity Name | Mi Pacs 2 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205418357 PECOS PAC ID: 2264831577 Enrollment ID: O20210518002473 |
| Entity Name | Cs Pacs 3 Midwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972368785 PECOS PAC ID: 4183164734 Enrollment ID: O20241008001138 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie S Wooldridge, NP Po Box 1847, Muskegon, MI 49443-1847 Ph: (231) 727-4444 | Leslie S Wooldridge, NP 6401 Prairie St, Suite 1700, Norton Shores, MI 49444-7840 Ph: (231) 727-7944 |
Marisa Ann Herrera, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4905 Harvey St, Norton Shores, MI 49444 Phone: 231-655-3284 Fax: 231-655-5040 | |
Ms. Charlotte Rose Tatangelo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6425 S Harvey St, Norton Shores, MI 49444 Phone: 231-737-3469 Fax: 231-737-4548 | |
Alicia A Gappa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3570 Henry St Ste 120, Norton Shores, MI 49441 Phone: 231-672-7000 | |
Michelle J Bray, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5933 Grand Haven Rd, Norton Shores, MI 49441 Phone: 231-799-3300 | |
Madison Niederer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6425 Harvey St, Norton Shores, MI 49444 Phone: 231-737-3469 | |
Darci Samuel, FNP-C, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2177 Forest Park Rd, Norton Shores, MI 49441 Phone: 269-286-2025 |