Ms Kelsey Ann Jantz, | |
2861 Coppergrove Dr Ne, Grand Rapids, MI 49525-3170 | |
(616) 901-8564 | |
Not Available |
Full Name | Ms Kelsey Ann Jantz |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2861 Coppergrove Dr Ne, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073387759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704358989 (Michigan) | Primary |
Entity Name | Iha Health Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Mailing Address | Practice Location Address |
---|---|
Ms Kelsey Ann Jantz, 2861 Coppergrove Dr Ne, Grand Rapids, MI 49525-3170 Ph: (616) 901-8564 | Ms Kelsey Ann Jantz, 2861 Coppergrove Dr Ne, Grand Rapids, MI 49525-3170 Ph: (616) 901-8564 |
Paul Dieleman, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1131 Ionia Ave Nw, Grand Rapids, MI 49503 Phone: 616-259-7900 Fax: 616-259-7909 | |
Dr. Katherine Pruss, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3201 Burton St Se, Sb 260, Grand Rapids, MI 49546 Phone: 616-526-6808 | |
Vanessa Rae Smitko, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546 Phone: 616-267-8860 | |
Cassandra Cummings, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-486-6790 | |
Anne Therese Beauchamp, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 Medical Park Dr Se, Grand Rapids, MI 49546 Phone: 616-942-9610 | |
Mary Barr, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-391-3759 | |
Joyce M Jensen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546 Phone: 616-459-3158 Fax: 616-988-0071 |