| Mrs Diana Lee Wilson, PMHNP-BC | |
|
550 Osborn Blvd Ste 1006, Sault Sainte Marie, MI 49783-1899 | |
| (906) 635-2969 | |
| (906) 635-3114 |
| Full Name | Mrs Diana Lee Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 550 Osborn Blvd Ste 1006, Sault Sainte Marie, 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 |
|---|---|---|---|
| 1508137894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704195098 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chippewa County War Memorial Hospital | Sault sainte marie, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Center Sault | 7315936481 | 88 |
| Entity Name | Mymichigan Medical Center Sault |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457305674 PECOS PAC ID: 7315936481 Enrollment ID: O20040512000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Diana Lee Wilson, PMHNP-BC 550 Osborn Blvd Ste 1006, Sault Sainte Marie, MI 49783-1899 Ph: (906) 635-2969 | Mrs Diana Lee Wilson, PMHNP-BC 550 Osborn Blvd Ste 1006, Sault Sainte Marie, MI 49783-1899 Ph: (906) 635-2969 |
Stacy Lamontagna, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2864 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-5200 Fax: 906-632-5276 | |
Carmine Mazzuca, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-635-4460 | |
Carla A Behling, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2864 Ashmun St, Sault Tribal Health Center, Sault Sainte Marie, MI 49783 Phone: 906-632-5200 Fax: 906-632-5276 | |
Ms. Tina M Pountney, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 904 Marquette Ave, Sault Sainte Marie, MI 49783 Phone: 906-632-5690 | |
Ms. Kristine Balash, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1408 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 248-953-0359 | |
Meghan Hanna, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 560 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-632-1800 | |
Ms. Terry L Malloy, RCNS MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 560 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-632-1800 Fax: 906-632-2199 |