| Ashley N Decraene, NP-C | |
|
1000 W University Dr Ste 202, Rochester, MI 48307-1875 | |
| (248) 375-4033 | |
| (483) 754-0342 |
| Full Name | Ashley N Decraene |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1000 W University Dr Ste 202, Rochester, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609410976 | NPI | - | NPPES |
| 4704290238 | Other | MI | MI NP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704290238 (Michigan) | Primary |
| Entity Name | Modern Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750967691 PECOS PAC ID: 7113335951 Enrollment ID: O20210416000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley N Decraene, NP-C 1000 W University Dr Ste 202, Rochester, MI 48307-1875 Ph: (248) 375-4033 | Ashley N Decraene, NP-C 1000 W University Dr Ste 202, Rochester, MI 48307-1875 Ph: (248) 375-4033 |
Elvedina Ribic, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W University Dr Ste 100, Rochester, MI 48307 Phone: 248-824-2570 | |
Ms. Margaret Glembocki, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5813 Fax: 248-650-9160 | |
Gail Lynn Eddy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5000 | |
William E Schlicklin, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5000 | |
Christie Marie Rivard, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 N Squirrel Rd, Rochester, MI 48309 Phone: 248-370-2100 | |
Kelly Scott, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 W University Dr Ste 425, Rochester, MI 48307 Phone: 248-650-5861 Fax: 248-650-5865 | |
Mrs. Lisa Marie Thomas, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 528 Bloomer Ridge Dr, Rochester, MI 48307 Phone: 586-719-0783 |