Marie-cassandre Vandervoord, | |
1060 S Van Dyke Rd Ste 300, Bad Axe, MI 48413-9638 | |
(989) 269-7775 | |
(989) 269-7677 |
Full Name | Marie-cassandre Vandervoord |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1060 S Van Dyke Rd Ste 300, Bad Axe, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487125829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704325239 (Michigan) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 4704325239 (Michigan) | Primary |
Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
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Marie-cassandre Vandervoord, 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Marie-cassandre Vandervoord, 1060 S Van Dyke Rd Ste 300, Bad Axe, MI 48413-9638 Ph: (989) 269-7775 |
Tracie Jo Henline, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 S Van Dyke Rd, Bad Axe, MI 48413 Phone: 989-269-9521 | |
Jennifer Anne Webb, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 Sullivan Rd, Bad Axe, MI 48413 Phone: 989-975-6084 | |
Beth A Britt, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 S Van Dyke Rd, Bad Axe, MI 48413 Phone: 989-269-7504 Fax: 989-269-7517 | |
Rochelle Raymond, DNP, RN PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1375 R Dale Wertz Dr, Bad Axe, MI 48413 Phone: 989-269-9293 Fax: 989-269-9754 | |
Erika Faber, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Pigeon Rd Ste C, Bad Axe, MI 48413 Phone: 989-623-9505 | |
Shannon London Nowiski, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1060 S Van Dyke, Suite 300, Bad Axe, MI 48413 Phone: 989-269-7606 Fax: 989-269-7933 |