| Mrs Sandra Lynn Pratt, RN, MSN, FNP-BC | |
|
3770 Glenkerry Ct, Portage, MI 49024-0700 | |
| (269) 329-2887 | |
| (269) 329-2805 |
| Full Name | Mrs Sandra Lynn Pratt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 3770 Glenkerry Ct, Portage, 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 |
|---|---|---|---|
| 1831334762 | NPI | - | NPPES |
| 1831334762 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704291378 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Borgess Medical Center | Kalamazoo, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group Promed | 7315856077 | 239 |
| Entity Name | Southern Michigan Pain Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538119391 PECOS PAC ID: 3173590957 Enrollment ID: O20040911000291 |
| Entity Name | Three Rivers Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720350903 PECOS PAC ID: 8729245584 Enrollment ID: O20140729001948 |
| Entity Name | Vitality Healthcare Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770954703 PECOS PAC ID: 7911206131 Enrollment ID: O20160421002491 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sandra Lynn Pratt, RN, MSN, FNP-BC 3245 Health Drive, Suite 100, Granger, IN 46530-1380 Ph: (574) 647-1840 | Mrs Sandra Lynn Pratt, RN, MSN, FNP-BC 3770 Glenkerry Ct, Portage, MI 49024-0700 Ph: (269) 329-2887 |
Felicia Desmit, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8225 Moorsbridge Rd, Portage, MI 49024 Phone: 800-395-3223 Fax: 248-620-6405 | |
Miss Manjerngie Cecelia Ndebe, FNP-C, PHD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 451 W. Milham Ave, Portage, MI 49024 Phone: 269-488-9008 Fax: 269-488-9001 | |
Maria Anna Csiszar, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3770 Glenkerry Ct, Portage, MI 49024 Phone: 269-329-2887 Fax: 269-329-2805 | |
Mrs. Amanda M Bustle, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2680 W Centre Ave, Portage, MI 49024 Phone: 269-324-2400 | |
Jonathan Nykamp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 S 12th St, Portage, MI 49024 Phone: 269-978-0444 Fax: 269-978-0447 | |
Christina M Kemple, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7775 Angling Rd, Portage, MI 49024 Phone: 269-324-8670 | |
Ronald Ken Ladouce, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3304 Cooley Ct, Portage, MI 49024 Phone: 269-341-6736 |