| Mrs Dana Lara Wolfe, NP-C | |
|
16525 Fort St, Southgate, MI 48195-1403 | |
| (734) 250-9529 | |
| Not Available |
| Full Name | Mrs Dana Lara Wolfe |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 16525 Fort St, Southgate, 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 |
|---|---|---|---|
| 1033125802 | NPI | - | NPPES |
| NP1747 | Medicaid | SC | |
| P00906569 | Other | SC | RAILROAD MEDICARE PTAN |
| 4704154939 | Other | MI | LICENSE # |
| 2997 | Other | SC | LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2997 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704154939 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstreet Urgent Care Of Michigan | 6305188491 | 121 |
| Entity Name | Hometown Urgent Care Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790030385 PECOS PAC ID: 8123270840 Enrollment ID: O20121204000095 |
| Entity Name | Wellstreet Urgent Care Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578048096 PECOS PAC ID: 6305188491 Enrollment ID: O20190610002007 |
| Entity Name | Commerce Sports And Spine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720629157 PECOS PAC ID: 3870926397 Enrollment ID: O20191213000826 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Dana Lara Wolfe, NP-C 23296 Stoflet Ln, Trenton, MI 48183-5408 Ph: (843) 250-1895 | Mrs Dana Lara Wolfe, NP-C 16525 Fort St, Southgate, MI 48195-1403 Ph: (734) 250-9529 |
Scott Anthony Blackburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11275 Allen Rd, Southgate, MI 48195 Phone: 313-383-7071 Fax: 313-383-7194 | |
Margaret Diane Barden, APN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13667 Eureka Rd, Southgate, MI 48195 Phone: 734-530-6777 Fax: 734-468-1156 | |
Michelle Lorraine Pardee, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19275 Northline Rd, Southgate, MI 48195 Phone: 734-287-2076 Fax: 734-287-2731 | |
Marie Elizabeth Manteuffel, RN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16258 Fort St, Southgate, MI 48195 Phone: 734-250-9062 Fax: 734-250-9072 | |
Kaitlin Dughlas, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15350 Trenton Rd, Southgate, MI 48195 Phone: 734-283-4616 | |
Mrs. Deborah Jane Collier-barstad, M.S.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15255 Northline Rd, Southgate, MI 48195 Phone: 734-285-3090 Fax: 734-285-3095 |