Alan D Waters, | |
957 Brookhaven Ct Ste 3&4, Muskegon, MI 49442-3890 | |
(231) 777-1916 | |
(231) 773-8904 |
Full Name | Alan D Waters |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 957 Brookhaven Ct Ste 3&4, Muskegon, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538511688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704231084 (Michigan) | Primary |
Entity Name | Carelon Medical Partners, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20160902000482 |
Mailing Address | Practice Location Address |
---|---|
Alan D Waters, 470 Oakhurst Ave Nw, Grand Rapids, MI 49504-4660 Ph: (616) 453-3359 | Alan D Waters, 957 Brookhaven Ct Ste 3&4, Muskegon, MI 49442-3890 Ph: (231) 777-1916 |
Kathleen Kay Robinson, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 S Getty St, Muskegon, MI 49444 Phone: 231-739-9315 Fax: 231-733-7380 | |
Mrs. Eliza Rebecca Sudbury, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1915 Holton Rd, Muskegon, MI 49445 Phone: 213-672-3333 | |
Sabina Mustic, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1212 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-3500 | |
Meredith Anne Heinlein, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-6740 Fax: 231-672-6787 | |
Cindy Jandron, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 E Apple Ave, Suite # 201, Muskegon, MI 49442 Phone: 231-725-4105 Fax: 231-725-8196 | |
Alissa Stachowicz, FNP-C, CNL Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2009 Holton Rd, Muskegon, MI 49445 Phone: 231-291-8399 | |
Mrs. Sarah E Keyes, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 S Sheridan Dr, Muskegon, MI 49444 Phone: 231-773-9200 |