| Mphasa Mwanza, FNP | |
|
261 M 62, Cassopolis, MI 49031-1034 | |
| (269) 445-3874 | |
| Not Available |
| Full Name | Mphasa Mwanza |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 261 M 62, Cassopolis, 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 |
|---|---|---|---|
| 1700257151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 4704263078 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Immediate Care Center | 2264423771 | 17 |
| Entity Name | Lakeland Immediate Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982677548 PECOS PAC ID: 2264423771 Enrollment ID: O20040524000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Mphasa Mwanza, FNP 261 M 62, Cassopolis, MI 49031-1034 Ph: (269) 445-3874 | Mphasa Mwanza, FNP 261 M 62, Cassopolis, MI 49031-1034 Ph: (269) 445-3874 |
Sheryl Lynn-williams File, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 57808 M 62, Cassopolis, MI 49031 Phone: 269-782-8767 Fax: 269-782-1159 | |
Tracy Patnoude, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 960 E State St, Cassopolis, MI 49031 Phone: 269-228-5110 | |
Neil Bowman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 261 M 62, Cassopolis, MI 49031 Phone: 269-445-3874 Fax: 269-445-2076 | |
Dr. Dana Jo Jenkins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 S Fulton St, Cassopolis, MI 49031 Phone: 269-845-1527 | |
Sara Elizabeth Serafin, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 261 M 62, Cassopolis, MI 49031 Phone: 269-445-3874 Fax: 269-445-1930 | |
Crystal Dawn Payton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 School St, Cassopolis, MI 49031 Phone: 269-445-3874 Fax: 269-445-2076 |