Susan Peterson, | |
447 Washington Rd, Grosse Pointe, MI 48230-1617 | |
(313) 410-0155 | |
Not Available |
Full Name | Susan Peterson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 447 Washington Rd, Grosse Pointe, Michigan |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134888118 | NPI | - | NPPES |
4704310011 | Other | MI | NURSING LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 4704310011 (Michigan) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 4704310011 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Residential Home Health | Troy, MI | Home health agency |
Flagstar Home Health Services | Warren, MI | Home health agency |
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthland Housecall Services Llc | 1052741451 | 5 |
Entity Name | Healthland Housecall Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760029581 PECOS PAC ID: 1052741451 Enrollment ID: O20200427002175 |
Mailing Address | Practice Location Address |
---|---|
Susan Peterson, 447 Washington Rd, Grosse Pointe, MI 48230-1617 Ph: (313) 410-0155 | Susan Peterson, 447 Washington Rd, Grosse Pointe, MI 48230-1617 Ph: (313) 410-0155 |
Ms. Rosanne Marie Skonieczny, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-343-1605 Fax: 313-343-1934 | |
Ms. Corie Peterson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16815 E Jefferson Ave Ste 120, Grosse Pointe, MI 48230 Phone: 586-498-4400 | |
Molly Czoykowski, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17120 Kercheval Ave, Grosse Pointe, MI 48230 Phone: 313-886-3300 | |
Michele Gamel, DNP, RN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 810-305-1455 | |
Esther Malka Selik, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000 | |
Mrs. Christina Tharrett, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000 |