| Mary Ellen Yealin, | |
|
7901 Angling Rd, Suite B-201, Portage, MI 49024-0714 | |
| (269) 324-8600 | |
| Not Available |
| Full Name | Mary Ellen Yealin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 7901 Angling Rd, Portage, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164534582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704174695 (Michigan) | Primary |
| Entity Name | Ascension Medical Group Promed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ellen Yealin, 5943 Stadium Dr, Suite 3, Kalamazoo, MI 49009-3016 Ph: () - | Mary Ellen Yealin, 7901 Angling Rd, Suite B-201, Portage, MI 49024-0714 Ph: (269) 324-8600 |
Felicia Desmit, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8225 Moorsbridge Rd, Portage, MI 49024 Phone: 800-395-3223 Fax: 248-620-6405 | |
Miss Manjerngie Cecelia Ndebe, FNP-C, PHD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 451 W. Milham Ave, Portage, MI 49024 Phone: 269-488-9008 Fax: 269-488-9001 | |
Maria Anna Csiszar, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3770 Glenkerry Ct, Portage, MI 49024 Phone: 269-329-2887 Fax: 269-329-2805 | |
Mrs. Amanda M Bustle, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2680 W Centre Ave, Portage, MI 49024 Phone: 269-324-2400 | |
Jonathan Nykamp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 S 12th St, Portage, MI 49024 Phone: 269-978-0444 Fax: 269-978-0447 | |
Christina M Kemple, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7775 Angling Rd, Portage, MI 49024 Phone: 269-324-8670 | |
Ronald Ken Ladouce, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3304 Cooley Ct, Portage, MI 49024 Phone: 269-341-6736 |