| Mrs Kyle Kakuk, MSN, APRN, PMHNP-BC | |
|
1025 W Washington St Ste A, Marquette, MI 49855-4031 | |
| (906) 239-5050 | |
| (906) 239-5055 |
| Full Name | Mrs Kyle Kakuk |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 1025 W Washington St Ste A, Marquette, 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 |
|---|---|---|---|
| 1508659509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704270408 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Up Health System - Marquette | Marquette, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marquette Medical Pllc | 7416300793 | 8 |
| Pathways | 4284626391 | 28 |
| Entity Name | Pathways |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487683546 PECOS PAC ID: 4284626391 Enrollment ID: O20040614000139 |
| Entity Name | Marquette Medical PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871374702 PECOS PAC ID: 7416300793 Enrollment ID: O20240202001560 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kyle Kakuk, MSN, APRN, PMHNP-BC 1025 W Washington St Ste A, Marquette, MI 49855-4031 Ph: (906) 239-5050 | Mrs Kyle Kakuk, MSN, APRN, PMHNP-BC 1025 W Washington St Ste A, Marquette, MI 49855-4031 Ph: (906) 239-5050 |
Lisa Lee Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave Ste 35, Marquette, MI 49855 Phone: 906-449-1140 Fax: 906-449-1844 |
Rodney Riesland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, Ste 344, Marquette, MI 49855 Phone: 906-225-3910 Fax: 906-225-4529 |
Angela J Rose, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, Suite 249, Marquette, MI 49855 Phone: 906-225-3333 Fax: 906-225-3788 |
Mr. Andrew Gerard Boudreau, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-4531 Fax: 906-225-4807 |
Edith Elaine Weatherford, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, #226, Marquette, MI 49855 Phone: 906-225-3925 Fax: 906-225-4838 |
Mrs. Rachel Bonsall, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 |
Caleb Yeargan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 |