| Mara Lisa Casarez, NP | |
|
100 Michigan St Ne, Floor 3w, Grand Rapids, MI 49503-2560 | |
| (616) 391-1714 | |
| (616) 391-1332 |
| Full Name | Mara Lisa Casarez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 100 Michigan St Ne, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023481710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704262498 (Michigan) | Primary |
| Entity Name | Mecosta County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386693471 PECOS PAC ID: 1951215540 Enrollment ID: O20031118000335 |
| Entity Name | Spectrum Health United |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457304495 PECOS PAC ID: 6305836487 Enrollment ID: O20040612000087 |
| Entity Name | Memorial Medical Center Of West Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972589489 PECOS PAC ID: 3678543659 Enrollment ID: O20071128000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Mara Lisa Casarez, NP 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Mara Lisa Casarez, NP 100 Michigan St Ne, Floor 3w, Grand Rapids, MI 49503-2560 Ph: (616) 391-1714 |
Paul Dieleman, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1131 Ionia Ave Nw, Grand Rapids, MI 49503 Phone: 616-259-7900 Fax: 616-259-7909 | |
Dr. Katherine Pruss, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3201 Burton St Se, Sb 260, Grand Rapids, MI 49546 Phone: 616-526-6808 | |
Vanessa Rae Smitko, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546 Phone: 616-267-8860 | |
Cassandra Cummings, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-486-6790 | |
Anne Therese Beauchamp, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 Medical Park Dr Se, Grand Rapids, MI 49546 Phone: 616-942-9610 | |
Mary Barr, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-391-3759 | |
Joyce M Jensen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546 Phone: 616-459-3158 Fax: 616-988-0071 |