| Rachel Distelrath, FNP-BC | |
|
1210 10th Ave, Port Huron, MI 48060-3406 | |
| (810) 662-3505 | |
| Not Available |
| Full Name | Rachel Distelrath |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 1210 10th Ave, Port Huron, 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 |
|---|---|---|---|
| 1184440158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704292139 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Port Huron | Port huron, MI | Hospital |
| Lake Huron Medical Center | Port huron, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Water Internal Medicine Pc | 3577994490 | 3 |
| Entity Name | Blue Water Internal Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255967667 PECOS PAC ID: 3577994490 Enrollment ID: O20200509000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Distelrath, FNP-BC 5620 Burtch Rd, Grant Township, MI 48032-2802 Ph: (517) 614-0365 | Rachel Distelrath, FNP-BC 1210 10th Ave, Port Huron, MI 48060-3406 Ph: (810) 662-3505 |
Ms. Margaret Ann Gressle, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
Justine Schrader, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1979 Holland Ave, Port Huron, MI 48060 Phone: 810-982-1200 | |
Amy Storey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-2669 | |
Carol Lydia Wiediger, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Mrs. Sarah Colleen Ingles, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2875 Henry St, Port Huron, MI 48060 Phone: 810-966-7804 Fax: 810-987-9148 | |
Mrs. Elizabeth May Helmreich, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Stone St, Suite 5, Port Huron, MI 48060 Phone: 810-966-9556 Fax: 810-966-4898 | |
Gudalia Fajardo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2603 Electric Ave Ste 1, Port Huron, MI 48060 Phone: 810-987-5252 Fax: 810-987-2120 |