Karen Lynne Powers, MD | |
3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9137 | |
(269) 556-6000 | |
Not Available |
Full Name | Karen Lynne Powers |
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Gender | Female |
Speciality | Plastic Surgery |
Location | 3901 Stonegate Park, Saint Joseph, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558570580 | NPI | - | NPPES |
1558570580 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 7665984-1205 (Utah) | Secondary |
208200000X | Plastic Surgery | 4301108662 (Michigan) | Primary |
Entity Name | Lakeland Medical Practices |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
Mailing Address | Practice Location Address |
---|---|
Karen Lynne Powers, MD 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9137 Ph: (269) 556-6000 | Karen Lynne Powers, MD 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9137 Ph: (269) 556-6000 |
Dr. Samuel Ernest Logan, M.D., PHD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085 Phone: 269-556-6000 Fax: 269-556-6020 | |
Nicole Alexis Phillips, MD (6/12) Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3901 Stonegate Park Ste 300, Saint Joseph, MI 49085 Phone: 269-556-6000 |