Beverly Ann Bond, NP | |
2111 12 Mile Rd Nw, Sparta, MI 49345-9754 | |
(616) 391-8470 | |
(616) 391-8495 |
Full Name | Beverly Ann Bond |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2111 12 Mile Rd Nw, Sparta, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750537924 | NPI | - | NPPES |
CA8440 | Other | MI | RAILROAD MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704134193 (Michigan) | Primary |
Entity Name | Spectrum Health Primary Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
Mailing Address | Practice Location Address |
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Beverly Ann Bond, NP 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Beverly Ann Bond, NP 2111 12 Mile Rd Nw, Sparta, MI 49345-9754 Ph: (616) 391-8470 |
Mr. Christopher Mikel-eugene Bell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2111 12 Mile Rd Nw, Sparta, MI 49345 Phone: 616-391-8470 | |
Wendy Muma, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 12 Mile Rd Nw, Sparta, MI 49345 Phone: 616-391-8470 Fax: 616-391-8495 | |
Sara Beth Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 12 Mile Rd Nw, Sparta, MI 49345 Phone: 616-391-8470 |