| Misty Rae Ledesma, NP-C | |
|
32652 Kno, Dowagiac, MI 49047-9805 | |
| (269) 782-4141 | |
| (269) 783-1236 |
| Full Name | Misty Rae Ledesma |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 32652 Kno, Dowagiac, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154959591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704244777 (Michigan) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 4204244777 (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 |
| Entity Name | West Michigan Cancer Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447261730 PECOS PAC ID: 8628971199 Enrollment ID: O20040130000961 |
| Entity Name | Ascension Borgess Lee Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194771030 PECOS PAC ID: 7719881002 Enrollment ID: O20060228000470 |
| Entity Name | Ascension Borgess Allegan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144531252 PECOS PAC ID: 5092750356 Enrollment ID: O20100823000998 |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Rae Ledesma, NP-C 60207 65th St, Hartford, MI 49057-8711 Ph: (269) 674-9909 | Misty Rae Ledesma, NP-C 32652 Kno, Dowagiac, MI 49047-9805 Ph: (269) 782-4141 |
Shirley Grassflower, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 57392 M 51 S, Dowagiac, MI 49047 Phone: 269-782-4141 Fax: 269-782-8797 | |
Ms. Nadzieja Nicole Pocheki, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W High St, Dowagiac, MI 49047 Phone: 269-782-8651 | |
Heather Cook-sinden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55432 Colby St, Dowagiac, MI 49047 Phone: 800-979-9595 | |
Alicia Jean Lane, MSN, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 Main St, Dowagiac, MI 49047 Phone: 269-783-3052 | |
Erica Rogers, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 Main St, Dowagiac, MI 49047 Phone: 269-783-3052 Fax: 269-783-2074 | |
Marcy Parisi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 32652 Kno Drive, Dowagiac, MI 49047 Phone: 269-782-4141 Fax: 269-783-1236 |