Amanda Graham, FNP | |
6297 Dixie Hwy, Bridgeport, MI 48722-9635 | |
(989) 759-6460 | |
(989) 759-6465 |
Full Name | Amanda Graham |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 6297 Dixie Hwy, Bridgeport, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447500137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704260551 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Covenant Medical Center | Saginaw, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Great Lakes Bay Health Centers | 2466369046 | 63 |
Entity Name | Great Lakes Bay Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871684761 PECOS PAC ID: 2466369046 Enrollment ID: O20040126000171 |
Mailing Address | Practice Location Address |
---|---|
Amanda Graham, FNP 501 Lapeer Ave, Saginaw, MI 48607-1208 Ph: (989) 759-6464 | Amanda Graham, FNP 6297 Dixie Hwy, Bridgeport, MI 48722-9635 Ph: (989) 759-6460 |
Steven Ochoa, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6297 Dixie Hwy, Bridgeport, MI 48722 Phone: 989-759-6460 | |
Ms. Dakima Lisa Bridges, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6297 Dixie Hwy, Bridgeport, MI 48722 Phone: 989-759-6460 Fax: 989-759-6465 | |
Lori Jones, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6940 Dixie Hwy, Bridgeport, MI 48722 Phone: 989-746-0933 Fax: 989-746-5070 |