| Traci J Van Gorden, CFNP | |
|
104 S Lakeview Ave, Sturgis, MI 49091-1947 | |
| (269) 319-8850 | |
| (269) 464-0101 |
| Full Name | Traci J Van Gorden |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 104 S Lakeview Ave, Sturgis, 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 |
|---|---|---|---|
| 1679513451 | NPI | - | NPPES |
| 4888010 | Medicaid | MI | |
| 4887990 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704252117 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Medical Clinic Pllc | 5395881841 | 680 |
| Entity Name | Fc Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225579063 PECOS PAC ID: 8820360001 Enrollment ID: O20170823001260 |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491 |
| Mailing Address | Practice Location Address |
|---|---|
| Traci J Van Gorden, CFNP 104 S Lakeview Ave, Sturgis, MI 49091-1947 Ph: (269) 319-8850 | Traci J Van Gorden, CFNP 104 S Lakeview Ave, Sturgis, MI 49091-1947 Ph: (269) 319-8850 |
Laura Bednar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 S Lakeview Ave, Sturgis, MI 49091 Phone: 269-319-8850 Fax: 269-464-0101 | |
Miki Renee Schrader, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 S Lakeview Ave, Sturgis, MI 49091 Phone: 269-319-8850 | |
Laura N Rysso, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 S Lakeview Ave, Sturgis, MI 49091 Phone: 269-319-8850 Fax: 269-464-0101 | |
Mrs. Carol Lynn Sharp, R.N. / OGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 S Lakeview St, Suite 207, Sturgis, MI 49091 Phone: 269-659-4646 Fax: 269-651-2210 | |
Mrs. Nancy Jane Haylett, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1717 E Chicago Rd, Suite 2, Sturgis, MI 49091 Phone: 269-659-1744 | |
Stacy Lynn Sharp, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 S Lakeview Ave, Sturgis, MI 49091 Phone: 269-319-8850 | |
Sharon Myers, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 S Lakeview Ave, Sturgis, MI 49091 Phone: 269-319-8850 |