| Novello Infusion Plc | |
|
4290 Copper Ridge Dr Ste 130 Traverse City MI 49684-7205 | |
| (231) 252-0893 | |
| Not Available |
| Full Name | Novello Infusion Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4290 Copper Ridge Dr Ste 130, Traverse City, Michigan |
| Authorized Official Name and Position | Kristen Elliott (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2314218505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novello Infusion Plc 4290 Copper Ridge Dr Ste 110 Traverse City MI 49684-7208 Ph: (231) 421-8505 | Novello Infusion Plc 4290 Copper Ridge Dr Ste 130 Traverse City MI 49684-7205 Ph: (231) 252-0893 |
| NPI Number | 1417681305 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 07/15/2022 |
| Medicare PECOS PAC ID | 6204202245 |
|---|---|
| Medicare Enrollment ID | O20221017002636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417681305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nathan E March |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467462762 PECOS PAC ID: 6305737586 Enrollment ID: I20040324001585 |
| Provider Name | Anessa L Songer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316081326 PECOS PAC ID: 7719072206 Enrollment ID: I20070928000048 |
| Provider Name | Hilarion H Bibicoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114367703 PECOS PAC ID: 6406166628 Enrollment ID: I20160728000381 |
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