| Shanna Macclaren, FNP-C | |
|
416 Connable Ave, Petoskey, MI 49770-2212 | |
| (800) 248-6777 | |
| Not Available |
| Full Name | Shanna Macclaren |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 416 Connable Ave, Petoskey, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407322985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 18282121049 (Michigan) | Primary |
| Entity Name | Little Traverse Bay Bands Of Odawa Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124052816 PECOS PAC ID: 8820995368 Enrollment ID: O20110916000317 |
| Entity Name | Apogee Medical Group Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053655134 PECOS PAC ID: 9931347879 Enrollment ID: O20130604000688 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanna Macclaren, FNP-C 8133 E Potter Rd, Davison, MI 48423-8165 Ph: () - | Shanna Macclaren, FNP-C 416 Connable Ave, Petoskey, MI 49770-2212 Ph: (800) 248-6777 |
Timothy Robert La Gasse, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Connable Ave, Petoskey, MI 49770 Phone: 231-487-4520 | |
Keely Marie Blosh, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-487-4000 Fax: 231-547-3424 | |
Casandra Jane Newland, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St Ste 400, Petoskey, MI 49770 Phone: 231-487-2490 | |
Kristi Lynn Dipzinski, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St, Suite 300, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-5965 | |
Jason Moyns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St Ste 560, Petoskey, MI 49770 Phone: 231-487-5400 | |
Mrs. Kristie Lyn Haalck, AGAC-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St Ste 125, Petoskey, MI 49770 Phone: 231-487-4029 | |
Marisa Pilarski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 116 W Mitchell St, Petoskey, MI 49770 Phone: 586-531-0453 |