| Megan Marie Michelli, A-GNP-C | |
|
4270 S Broton Rd, Fruitport, MI 49415-8673 | |
| (231) 750-4591 | |
| Not Available |
| Full Name | Megan Marie Michelli |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 4270 S Broton Rd, Fruitport, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811697758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704268635 (Michigan) | Primary |
| Entity Name | Mercy Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023056744 PECOS PAC ID: 8921996307 Enrollment ID: O20040308000687 |
| Entity Name | Mercy Health Partners - Physician Specialist |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922248772 PECOS PAC ID: 2163572991 Enrollment ID: O20090616000615 |
| Entity Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Entity Name | Mercy Health Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154910172 PECOS PAC ID: 1456430016 Enrollment ID: O20140415001839 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Marie Michelli, A-GNP-C 4270 S Broton Rd, Fruitport, MI 49415-8673 Ph: (231) 750-4591 | Megan Marie Michelli, A-GNP-C 4270 S Broton Rd, Fruitport, MI 49415-8673 Ph: (231) 750-4591 |
Delphia Croff, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3427 Farr Rd Ste B, Fruitport, MI 49415 Phone: 231-865-1625 Fax: 231-865-6212 | |
Susan Kay Ercia, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3427 Farr Rd Ste B, Fruitport, MI 49415 Phone: 231-865-7625 Fax: 231-865-6212 |