| Susan Kay Ercia, | |
|
3427 Farr Rd Ste B, Fruitport, MI 49415-8854 | |
| (231) 865-7625 | |
| (231) 865-6212 |
| Full Name | Susan Kay Ercia |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 3427 Farr Rd Ste B, Fruitport, 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 |
|---|---|---|---|
| 1740839000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 19042140253 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Transitional Care Services Llc | 6709165954 | 38 |
| Entity Name | Transitional Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174976807 PECOS PAC ID: 6709165954 Enrollment ID: O20161111000718 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Entity Name | Snf Wound Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114393311 PECOS PAC ID: 1759699176 Enrollment ID: O20210920002198 |
| Entity Name | Advanced Wound Care Of Caro Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700666708 PECOS PAC ID: 3678926227 Enrollment ID: O20240130003071 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Kay Ercia, 3427 Farr Rd Ste B, Fruitport, MI 49415-8854 Ph: (616) 481-0132 | Susan Kay Ercia, 3427 Farr Rd Ste B, Fruitport, MI 49415-8854 Ph: (231) 865-7625 |
Delphia Croff, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3427 Farr Rd Ste B, Fruitport, MI 49415 Phone: 231-865-1625 Fax: 231-865-6212 | |
Megan Marie Michelli, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4270 S Broton Rd, Fruitport, MI 49415 Phone: 231-750-4591 |