| Marie Elizabeth Manteuffel, RN, MSN, FNP-C | |
|
16258 Fort St, Southgate, MI 48195-1401 | |
| (734) 250-9062 | |
| (734) 250-9072 |
| Full Name | Marie Elizabeth Manteuffel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 16258 Fort St, Southgate, 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 |
|---|---|---|---|
| 1083900591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.15473 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704263976 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Urgent Care | 6901296110 | 111 |
| Entity Name | Emergency Physicians of Northwest Ohio, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043274418 PECOS PAC ID: 3375456478 Enrollment ID: O20190904001095 |
| Entity Name | Henry Ford Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184389876 PECOS PAC ID: 6901296110 Enrollment ID: O20211202000908 |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Elizabeth Manteuffel, RN, MSN, FNP-C 3000 Arlington Ave Stop 1108, Toledo, OH 43614-2595 Ph: (419) 383-5322 | Marie Elizabeth Manteuffel, RN, MSN, FNP-C 16258 Fort St, Southgate, MI 48195-1401 Ph: (734) 250-9062 |
Scott Anthony Blackburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11275 Allen Rd, Southgate, MI 48195 Phone: 313-383-7071 Fax: 313-383-7194 |
Eid Tahsine Eid, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11275 Allen Rd, Southgate, MI 48195 Phone: 313-383-7071 Fax: 313-383-7194 |
Moneak D Parker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-734-7700 |
Mrs. Dana Lara Wolfe, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16525 Fort St, Southgate, MI 48195 Phone: 734-250-9529 |
Carmen Rasean Evans, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Heritage Dr Ste 230, Southgate, MI 48195 Phone: 248-832-6700 |
Margaret Diane Barden, APN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13667 Eureka Rd, Southgate, MI 48195 Phone: 734-530-6777 Fax: 734-468-1156 |
Jazminn Monson, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 11275 Allen Rd, Southgate, MI 48195 Phone: 313-383-7071 Fax: 313-383-7194 |