| Matthew John Shullick, FNP-BC | |
|
3001 Newberry Ave, Newberry, MI 49868-1340 | |
| (906) 293-6200 | |
| Not Available |
| Full Name | Matthew John Shullick |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 3001 Newberry Ave, Newberry, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912246513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704277940 (Michigan) | Primary |
| Entity Name | Munson Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904 |
| Entity Name | Kalkaska Memorial Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013183060 PECOS PAC ID: 3577536002 Enrollment ID: O20040813000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew John Shullick, FNP-BC 3001 Newberry Ave, Newberry, MI 49868-1340 Ph: (906) 293-6200 | Matthew John Shullick, FNP-BC 3001 Newberry Ave, Newberry, MI 49868-1340 Ph: (906) 293-6200 |
Morgan Gelinas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 502 W Harrie St, Newberry, MI 49868 Phone: 906-293-9200 | |
Krista Groll, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 W Harrie St, Newberry, MI 49868 Phone: 906-293-9233 Fax: 906-293-9285 | |
Danette Lynn Martyn, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7913 County Road 385, Newberry, MI 49868 Phone: 906-322-1806 | |
Brook Lynn Dake, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 W Harrie St, Newberry, MI 49868 Phone: 906-293-9200 | |
Carol A Norman, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 W Harrie St, Newberry, MI 49868 Phone: 906-293-9200 Fax: 906-586-3264 |