| Mrs Diane Marie Ford, APRN | |
|
1045 E Front St, Buchanan, MI 49107-8474 | |
| (269) 695-5540 | |
| (269) 695-0412 |
| Full Name | Mrs Diane Marie Ford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 41 Years |
| Location | 1045 E Front St, Buchanan, 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 |
|---|---|---|---|
| 1861400426 | NPI | - | NPPES |
| 4511986 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 28138958A (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 Medical Practices | 1658427042 | 252 |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Diane Marie Ford, APRN 8665 George Ave, Berrien Springs, MI 49103-1409 Ph: (269) 471-4902 | Mrs Diane Marie Ford, APRN 1045 E Front St, Buchanan, MI 49107-8474 Ph: (269) 695-5540 |
Olivia Cochran, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1045 E Front St, Buchanan, MI 49107 Phone: 269-695-5540 | |
Julia Kostyuk, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1045 E Front St, Buchanan, MI 49107 Phone: 269-695-5540 | |
Arlene Mae Saliba El Habre, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 E Front St, Buchanan, MI 49107 Phone: 269-695-5540 Fax: 269-695-0412 | |
Courtney Lynn Williams, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4320 Curran Rd, Buchanan, MI 49107 Phone: 269-362-4847 |