| Tracy Bosanko, PMHNP | |
|
17177 N Laurel Park Dr Ste 131, Livonia, MI 48152-3952 | |
| (734) 462-3210 | |
| (734) 462-1024 |
| Full Name | Tracy Bosanko |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 17177 N Laurel Park Dr Ste 131, Livonia, 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 |
|---|---|---|---|
| 1184445264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 4704329968 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Victor M. Cruz Md, P.c. | 3375604952 | 25 |
| Entity Name | Victor M. Cruz Md, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023036514 PECOS PAC ID: 3375604952 Enrollment ID: O20081202000484 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Bosanko, PMHNP 5842 Hathaway Rd, Canton, MI 48187-5609 Ph: (734) 536-3043 | Tracy Bosanko, PMHNP 17177 N Laurel Park Dr Ste 131, Livonia, MI 48152-3952 Ph: (734) 462-3210 |
Mrs. Brooke Justis, CNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 19000 St Joes Pkwy Ste 160, Livonia, MI 48152 Phone: 734-884-5200 Fax: 734-466-5637 | |
Susan Campitelle, ANP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 19000 St Joes Pkwy Ste 330, Livonia, MI 48152 Phone: 734-884-5263 Fax: 734-884-5264 | |
Kristin Kentros, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150 Phone: 734-458-4601 | |
Ms. Dawn Huff, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 37771 7 Mile Rd, Livonia, MI 48152 Phone: 248-599-2410 Fax: 248-247-1025 | |
Mrs. Emma Kate Rimatzki, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11659 Roselinda Dr, Livonia, MI 48150 Phone: 734-812-9271 | |
Felicia Cerise Reese, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 Phone: 734-779-9732 Fax: 734-779-9799 | |
Rosemary Anne Marie Girard, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 31330 Schoolcraft Rd, Ste 200, Livonia, MI 48150 Phone: 734-525-9712 |