| Andrea L Perri, NP | |
|
1675 Leahy St Ste 404b, Muskegon, MI 49442-5544 | |
| (231) 728-1695 | |
| (231) 728-5906 |
| Full Name | Andrea L Perri |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 1675 Leahy St Ste 404b, 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 |
|---|---|---|---|
| 1952459406 | NPI | - | NPPES |
| ON34010 | Other | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704110689 (Michigan) | Primary |
| Entity Name | Lake Michigan Emergency Specialists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124574520 PECOS PAC ID: 0749569242 Enrollment ID: O20161123001655 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea L Perri, NP Po Box 1847, Muskegon, MI 49443-1847 Ph: (231) 672-4900 | Andrea L Perri, NP 1675 Leahy St Ste 404b, Muskegon, MI 49442-5544 Ph: (231) 728-1695 |
Mrs. Rebeca Josephine Gaskin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-3699 Fax: 231-724-3659 | |
Mr. Jon Joseph Fakler, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 955 W Broadway Ave, Muskegon, MI 49441 Phone: 231-755-0637 Fax: 231-755-6208 | |
Jamie Elizabeth Medema, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1150 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-4243 | |
Danielle Boudiab, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1549 Chapel Rd, Muskegon, MI 49441 Phone: 989-996-0371 | |
Ms. Eva Marie Alexander, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 125 E Southern Avenue, Muskegon, MI 49442 Phone: 231-724-3699 Fax: 231-724-3659 | |
Corrine Cox, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-3699 | |
Terri Helton, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-1111 Fax: 231-724-4188 |