| Shelly Marie Dale, | |
|
405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | |
| (231) 487-2270 | |
| Not Available |
| Full Name | Shelly Marie Dale |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 405 N Division Rd Ste 2, Petoskey, 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 |
|---|---|---|---|
| 1982266896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704216787 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Inpatient Physicians-michigan Pllc | 5395896849 | 168 |
| Entity Name | Munson Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904 |
| Entity Name | Hospitalist Medicine Physicians of Michigan - Saginaw PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922739762 PECOS PAC ID: 9032590831 Enrollment ID: O20220725001619 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Marie Dale, 9910 Mission Rd, Alanson, MI 49706-9717 Ph: (231) 838-8454 | Shelly Marie Dale, 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 Ph: (231) 487-2270 |
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 |
Cory Mills, DNP, A-GNP-C, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 800-248-6777 |
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 |