| Penny L Thompson, NP | |
|
9751 E Grand River Ave, Portland, MI 48875-9774 | |
| (517) 647-6722 | |
| (517) 647-6838 |
| Full Name | Penny L Thompson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 9751 E Grand River Ave, Portland, 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 |
|---|---|---|---|
| 1144250267 | NPI | - | NPPES |
| 4579202 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704141434 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Midmichigan Medical Center-clare | Clare, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saginaw Chippewa Indian Tribe | 8820068893 | 7 |
| Entity Name | Sparrow Ionia Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700820065 PECOS PAC ID: 0042118887 Enrollment ID: O20031230000664 |
| Entity Name | Saginaw Chippewa Indian Tribe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649368457 PECOS PAC ID: 8820068893 Enrollment ID: O20040728000012 |
| Entity Name | American Ambulatory Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891052726 PECOS PAC ID: 6305002502 Enrollment ID: O20120716000190 |
| Entity Name | Springfield Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144747460 PECOS PAC ID: 3971869942 Enrollment ID: O20171107002040 |
| Mailing Address | Practice Location Address |
|---|---|
| Penny L Thompson, NP Po Box 13008, Lansing, MI 48901-3008 Ph: (517) 253-6320 | Penny L Thompson, NP 9751 E Grand River Ave, Portland, MI 48875-9774 Ph: (517) 647-6722 |
Christina Knoop, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Hyland Dr, Portland, MI 48875 Phone: 517-647-6722 | |
Allison Green, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 406 Kent St, Portland, MI 48875 Phone: 517-647-4166 Fax: 517-647-2473 | |
Mrs. Judy Ann Fryover, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 427 W Grand River Ave, Portland, MI 48875 Phone: 517-647-4867 Fax: 517-647-4867 |