Rachael Nicole Lane, DO | |
6401 Prairie St Ste 2600, Norton Shores, MI 49444-7842 | |
(231) 672-7900 | |
(231) 672-7931 |
Full Name | Rachael Nicole Lane |
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Gender | Female |
Speciality | Family Medicine |
Location | 6401 Prairie St Ste 2600, Norton Shores, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205464955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5151014224 (Michigan) | Primary |
Entity Name | Mercy Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023056744 PECOS PAC ID: 8921996307 Enrollment ID: O20040308000687 |
Mailing Address | Practice Location Address |
---|---|
Rachael Nicole Lane, DO 6401 Prairie St Ste 2600, Norton Shores, MI 49444-7842 Ph: (231) 672-7900 | Rachael Nicole Lane, DO 6401 Prairie St Ste 2600, Norton Shores, MI 49444-7842 Ph: (231) 672-7900 |
Michael Banka, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3570 Henry St Ste 120, Norton Shores, MI 49441 Phone: 231-672-7000 Fax: 231-728-5041 | |
William Nelson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 E Ellis Rd, Suite 225, Norton Shores, MI 49441 Phone: 231-798-9840 Fax: 231-798-9740 | |
Dr. David G Booth, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3535 Park St Ste 110, Norton Shores, MI 49444 Phone: 231-672-3155 Fax: 231-672-3157 | |
Dr. James P Twesten-otoole, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3570 Henry St, Suite 220, Norton Shores, MI 49441 Phone: 616-685-6920 Fax: 231-672-7717 | |
Amanda Willhardt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6401 Prairie St Ste 2600, Norton Shores, MI 49444 Phone: 231-672-7900 Fax: 231-672-7931 | |
Sean M Lawson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3570 Henry St Ste 220, Norton Shores, MI 49441 Phone: 231-672-3155 Fax: 231-672-3157 |