| Ms Alyssa Suzanne Mull, CNM | |
|
1603 E 9 Mile Rd, Ferndale, MI 48220-2065 | |
| (248) 514-4955 | |
| Not Available |
| Full Name | Ms Alyssa Suzanne Mull |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1603 E 9 Mile Rd, Ferndale, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053509810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 4704232789 (Michigan) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704232789 (Michigan) | Primary |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Alyssa Suzanne Mull, CNM 21625 Erben St, Saint Clair Shores, MI 48081-2846 Ph: (586) 360-3476 | Ms Alyssa Suzanne Mull, CNM 1603 E 9 Mile Rd, Ferndale, MI 48220-2065 Ph: (248) 514-4955 |
Ms. Kerri Lynn Leich, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 751 E 9 Mile Rd Ste 2, Ferndale, MI 48220 Phone: 248-677-2273 Fax: 248-291-6731 |
Cheri Chenet, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10300 W 8 Mile Rd, Ferndale, MI 48220 Phone: 248-398-3200 |
Dr. Jeremy Baker, DNP, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1603 E 9 Mile Rd, Ferndale, MI 48220 Phone: 248-514-4955 |
Aleksander Jensen, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10300 W 8 Mile Rd, Ferndale, MI 48220 Phone: 810-333-5632 |
Megan Shelby Lennox, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 911 E 9 Mile Rd, Ferndale, MI 48220 Phone: 248-336-4000 |
Brenna Kathleen Tresidder, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 911 E 9 Mile Rd, Ferndale, MI 48220 Phone: 248-336-4000 |
Alison Joyce Amburgey, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 Fielding St, Ferndale, MI 48220 Phone: 248-568-8267 |