Vivica J Fitzpatrick-sherman, MD | |
2864 Ashmun Street, Sault Tribal Health Center, Sault Sainte Marie, MI 49783 | |
(906) 632-5200 | |
(906) 632-5276 |
Full Name | Vivica J Fitzpatrick-sherman |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2864 Ashmun Street, Sault Sainte Marie, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386699791 | NPI | - | NPPES |
080A760010 | Other | MI | BCBS |
1969581 | Medicaid | MI | |
4410400 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301053961 (Michigan) | Primary |
Entity Name | Sault Tribe Of Chippewa Indians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477721058 PECOS PAC ID: 7012982937 Enrollment ID: O20040901001322 |
Mailing Address | Practice Location Address |
---|---|
Vivica J Fitzpatrick-sherman, MD 2864 Ashmun Street, Sault Ste Marie, MI 49783 Ph: (906) 632-5200 | Vivica J Fitzpatrick-sherman, MD 2864 Ashmun Street, Sault Tribal Health Center, Sault Sainte Marie, MI 49783 Ph: (906) 632-5200 |
Dr. Robert John Beckman, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 509 Osborn Blvd, Suite 320, Sault Sainte Marie, MI 49783 Phone: 906-253-2605 Fax: 906-253-2773 | |
Gabriela Maria Deoliveira, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 550 Osborn Blvd, Ste 1006, Sault Sainte Marie, MI 49783 Phone: 906-253-2665 | |
Patricia Ann Newhouse, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 509 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-253-2605 |