| Samantha N Lopez, FNP | |
|
1615 Michigan Ave, Baldwin, MI 49304-7984 | |
| (231) 745-4624 | |
| (231) 745-4928 |
| Full Name | Samantha N Lopez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1615 Michigan Ave, Baldwin, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689368375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704352216 (Michigan) | Primary |
| Entity Name | Baldwin Family Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689783698 PECOS PAC ID: 1153215413 Enrollment ID: O20040209001155 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha N Lopez, FNP 721 E Loomis St, Ludington, MI 49431-2216 Ph: (231) 690-8237 | Samantha N Lopez, FNP 1615 Michigan Ave, Baldwin, MI 49304-7984 Ph: (231) 745-4624 |
Mrs. Anna Jacqueline Cvetich, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-4928 | |
Mrs. Lisa Joan West, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-4928 | |
Tracy Lynne Moody, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 | |
Miss Susan Marie Koger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-5031 | |
Cynthia Lucille Sherwood, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-5031 |