| Timothy Ryan Short, NP-C | |
|
146 S Charles St, Adrian, MI 49221-2556 | |
| (517) 366-5000 | |
| (517) 366-5002 |
| Full Name | Timothy Ryan Short |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 146 S Charles St, Adrian, 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 |
|---|---|---|---|
| 1114696069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704335486 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emma L Bixby Medical Center | Adrian, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Promedica Central Corporation Of Michigan | 7012902265 | 109 |
| Entity Name | Promedica Central Corporation Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588624696 PECOS PAC ID: 7012902265 Enrollment ID: O20040416001163 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Ryan Short, NP-C 146 S Charles St, Adrian, MI 49221-2556 Ph: (517) 366-5000 | Timothy Ryan Short, NP-C 146 S Charles St, Adrian, MI 49221-2556 Ph: (517) 366-5000 |
Mr. Gregory Foltz, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5640 N Adrian Hwy, Adrian, MI 49221 Phone: 517-577-0000 | |
Patricia Lynn Gray, R.N.C., W.H.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Lenawee County Health Department, 1040 South Winter Suite 2328, Adrian, MI 49221 Phone: 517-264-5233 Fax: 517-266-7804 | |
Rachel E Redman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 142 E Maumee St Ste 1, Adrian, MI 49221 Phone: 517-291-8729 Fax: 517-235-5747 | |
Julia Lyn Winser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Sand Creek Hwy, Adrian, MI 49221 Phone: 517-263-6794 | |
Renee Vives, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2727 E Beecher St, Adrian, MI 49221 Phone: 517-265-3900 | |
Ms. Amy E Denkins, APRN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Kimole Ln Ste A4, Adrian, MI 49221 Phone: 517-265-0680 |