| Mr Jonathan Ralph Edgette, FNP-C | |
|
704 W Chelsea Cir, Davison, MI 48423-1262 | |
| (810) 691-9630 | |
| Not Available |
| Full Name | Mr Jonathan Ralph Edgette |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 704 W Chelsea Cir, Davison, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306562764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704253991 (Michigan) | Primary |
| 363L00000X | Nurse Practitioner | APRN11051274 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hurley Medical Center | Flint, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hurley Medical Center | 2961308481 | 336 |
| Cancer And Hematology Centers Of Western Mi, P.c. | 4082526793 | 109 |
| Entity Name | Cancer & Hematology Centers of Western Mi, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528018389 PECOS PAC ID: 4082526793 Enrollment ID: O20031103000091 |
| Entity Name | Hurley Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982630844 PECOS PAC ID: 2961308481 Enrollment ID: O20031208000375 |
| Entity Name | Hurley Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053347880 PECOS PAC ID: 2961308481 Enrollment ID: O20040326000566 |
| Entity Name | Physician Coverage Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669567806 PECOS PAC ID: 3678536398 Enrollment ID: O20041104000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan Ralph Edgette, FNP-C Po Box 498, Davison, MI 48423-0498 Ph: (810) 691-9630 | Mr Jonathan Ralph Edgette, FNP-C 704 W Chelsea Cir, Davison, MI 48423-1262 Ph: (810) 691-9630 |
Mrs. Deborah Lynn Dimond, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9244 Lapeer Rd, Davison, MI 48423 Phone: 810-653-2111 Fax: 810-653-8506 |
Kaitlyn Wyatt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10090 E Lippincott Blvd, Davison, MI 48423 Phone: 810-653-1130 |
Christopher Elliot, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 Cal Dr, Davison, MI 48423 Phone: 810-272-0659 Fax: 810-985-5543 |
Marney Ann Mccleskey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 612 N State Rd, Davison, MI 48423 Phone: 810-652-6600 |
Mrs. Michelle Ann Hyjek, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1032 N Irish Rd, Davison, MI 48423 Phone: 810-658-2131 |
Angela Kay Austin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9171 Lapeer Rd, Davison, MI 48423 Phone: 810-394-1635 |
Cheryl M Abernathy, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3532 Victoria Sta, Davison, MI 48423 Phone: 810-257-9181 |