| Timothy Robert La Gasse, NP | |
|
401 Connable Ave, Petoskey, MI 49770 | |
| (231) 487-4520 | |
| Not Available |
| Full Name | Timothy Robert La Gasse |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 401 Connable Ave, Petoskey, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013424191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 4704249602 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Helen Newberry Joy Hospital | 5799671285 | 39 |
| Entity Name | Helen Newberry Joy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972650935 PECOS PAC ID: 5799671285 Enrollment ID: O20040317000546 |
| Entity Name | Petoskey Surgeons, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730145574 PECOS PAC ID: 4880616028 Enrollment ID: O20051230000532 |
| Entity Name | Helen Newberry Joy Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1497742050 PECOS PAC ID: 5799671285 Enrollment ID: O20100816001026 |
| Entity Name | Ecs Northern Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992231377 PECOS PAC ID: 3173892627 Enrollment ID: O20170627001889 |
| Entity Name | Acute Care Surgery Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20180514000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Robert La Gasse, NP Po Box 185, Walloon Lake, MI 49796-0185 Ph: (231) 535-6067 | Timothy Robert La Gasse, NP 401 Connable Ave, Petoskey, MI 49770 Ph: (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 |