| Ms Dawn Renee Schreckengust, PA-C | |
|
1850 Pipestone Ave., #102-b, Benton Harbor, MI 49022-2304 | |
| (269) 925-8386 | |
| (269) 925-4085 |
| Full Name | Ms Dawn Renee Schreckengust |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1850 Pipestone Ave., Benton Harbor, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730305160 | NPI | - | NPPES |
| 102534 | Medicaid | MI | |
| 06121A | Medicaid | MI | |
| 2820 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601002947 (Michigan) | Primary |
| Entity Name | Matrix Medical Plus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220707000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Dawn Renee Schreckengust, PA-C 2699 60th St, Fennville, MI 49408-9414 Ph: (269) 561-6023 | Ms Dawn Renee Schreckengust, PA-C 1850 Pipestone Ave., #102-b, Benton Harbor, MI 49022-2304 Ph: (269) 925-8386 |
Susan M Bublick, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 870 Colfax Ave, Benton Harbor, MI 49022 Phone: 269-927-5400 Fax: 269-927-5493 |
Lily Chan-zafer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1803 M 139, Benton Harbor, MI 49022 Phone: 269-487-3021 |
Gina Marie Lawrick, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 M 139, Benton Harbor, MI 49022 Phone: 269-927-5400 Fax: 269-982-5113 |