| Melinda Yvette Short, AGACNP-BC, BSN, RN | |
|
630 W Mitchell St Ste 4, Petoskey, MI 49770-2214 | |
| (231) 348-4005 | |
| (833) 973-5899 |
| Full Name | Melinda Yvette Short |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 630 W Mitchell St Ste 4, Petoskey, 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 |
|---|---|---|---|
| 1841651114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 4704319747 (Michigan) | Secondary |
| 163W00000X | Registered Nurse | 4704319747 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mackinac Straits Hospital And Health Center | Saint ignace, MI | Hospital |
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Chippewa County War Memorial Hospital | Sault sainte marie, MI | Hospital |
| Charlevoix Area Hospital | Charlevoix, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bay Street Orthopaedics Pllc | 4688864788 | 10 |
| Alfred J Wroblewski Md Pc | 6709882384 | 3 |
| Entity Name | Alfred J Wroblewski Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821252289 PECOS PAC ID: 6709882384 Enrollment ID: O20061005000190 |
| Entity Name | Bay Street Orthopaedics Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174808992 PECOS PAC ID: 4688864788 Enrollment ID: O20120814000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Yvette Short, AGACNP-BC, BSN, RN 630 W Mitchell St Ste 4, Petoskey, MI 49770-2214 Ph: (231) 348-4005 | Melinda Yvette Short, AGACNP-BC, BSN, RN 630 W Mitchell St Ste 4, Petoskey, MI 49770-2214 Ph: (231) 348-4005 |
Jessica J Kenyon, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1420 Plaza Dr, Petoskey, MI 49770 Phone: 231-348-3096 Fax: 231-348-3470 | |
Amy Jackson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1420 Plaza Dr, Petoskey, MI 49770 Phone: 231-347-7890 | |
Cory Mills, DNP, A-GNP-C, RN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 800-248-6777 | |
Mark Braendle, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1420 Plaza Dr, Petoskey, MI 49770 Phone: 231-348-3096 | |
Margaret Elaine Keller, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 704 Emmet St, Petoskey, MI 49770 Phone: 231-347-5511 Fax: 231-347-5422 | |
Sarah Louise Tyndall, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1420 Plaza Dr, Petoskey, MI 49770 Phone: 231-347-7890 | |
Mr. Tiffany Catherine Stage, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2236 E Mitchell Rd Ste 5, Petoskey, MI 49770 Phone: 231-347-9880 Fax: 231-347-9313 |