| Nicole Elizabeth Lasecki, FNP-BC | |
|
6367 Pickwick Dr, Canton, MI 48187-3630 | |
| (734) 968-6785 | |
| Not Available |
| Full Name | Nicole Elizabeth Lasecki |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 6367 Pickwick Dr, Canton, 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 |
|---|---|---|---|
| 1134833494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704344192 (Michigan) | Primary |
| 163WE0003X | Registered Nurse - Emergency | 4704344192 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America Llc | 6608056171 | 732 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912687328 PECOS PAC ID: 6608056171 Enrollment ID: O20230815000906 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Elizabeth Lasecki, FNP-BC 6367 Pickwick Dr, Canton, MI 48187-3630 Ph: (734) 968-6785 | Nicole Elizabeth Lasecki, FNP-BC 6367 Pickwick Dr, Canton, MI 48187-3630 Ph: (734) 968-6785 |
Lucinda Pryor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1161 Stacy Dr, Canton, MI 48188 Phone: 313-740-5358 | |
Wendy Storey, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Molly Mcintyre, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Patricia Reckling, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Jaclyn Riley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 N Haggerty Rd Ste 200, Canton, MI 48187 Phone: 313-550-3353 | |
Jennifer Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6300 N Haggerty Rd, Suite Number 210, Canton, MI 48187 Phone: 734-641-3000 | |
Katelyn Marie Carey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45300 Lothrop Rd, Canton, MI 48188 Phone: 734-812-9895 |