| Mrs Stacy Lamontagna, NP | |
|
803 W Arlington St, Bangor, MI 49013-1108 | |
| (269) 427-6810 | |
| (269) 427-6811 |
| Full Name | Mrs Stacy Lamontagna |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 803 W Arlington St, Bangor, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003323775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704336065 (Michigan) | Primary |
| Entity Name | Intercare Community Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326058512 PECOS PAC ID: 9537061254 Enrollment ID: O20040223000150 |
| Entity Name | Sault Tribe Of Chippewa Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205004884 PECOS PAC ID: 7012982937 Enrollment ID: O20051021000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stacy Lamontagna, NP Po Box 249, 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 Ph: (269) 657-5574 | Mrs Stacy Lamontagna, NP 803 W Arlington St, Bangor, MI 49013-1108 Ph: (269) 427-6810 |
Lori M. Lipari, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50521 34th Ave, Bangor, MI 49013 Phone: 269-427-8339 | |
Ms. Holly Husted, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 803 W Arlington St, Bangor, MI 49013 Phone: 269-427-6810 Fax: 269-657-6523 | |
Angela Reed, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 803 W Arlington St, Bangor Health Center, Bangor, MI 49013 Phone: 269-427-6810 Fax: 269-427-6811 |