| Michelle Jayme Kloss, DNP, APRN, AGNP-BC | |
|
231 W Pine Lake Dr, Newaygo, MI 49337-9264 | |
| (231) 652-4107 | |
| (231) 652-4620 |
| Full Name | Michelle Jayme Kloss |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 231 W Pine Lake Dr, Newaygo, 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 |
|---|---|---|---|
| 1740842657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 4704309389 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optimed Healthcare Partners Pllc | 6305283011 | 3 |
| Entity Name | Rehabilitation & Physical Medicine Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639256902 PECOS PAC ID: 2264589688 Enrollment ID: O20090421000695 |
| Entity Name | Optimed Healthcare Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538840780 PECOS PAC ID: 6305283011 Enrollment ID: O20240405002489 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Jayme Kloss, DNP, APRN, AGNP-BC 10700 Trailside Woods Dr Ne, Rockford, MI 49341-7213 Ph: (616) 206-2784 | Michelle Jayme Kloss, DNP, APRN, AGNP-BC 231 W Pine Lake Dr, Newaygo, MI 49337-9264 Ph: (231) 652-4107 |
Leah Wigent, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 W Pine Lake Dr, Newaygo, MI 49337 Phone: 231-652-1631 | |
Kendra Taylor, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8379 S Mason Dr, Newaygo, MI 49337 Phone: 231-403-5000 | |
Michael Dean Tanis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 W Pine Lake Dr, Newaygo, MI 49337 Phone: 231-652-1631 Fax: 616-267-9047 |