Carol Buentello, NNP-BC | |
420 W Magnetic St, Marquette, MI 49855-2700 | |
(906) 225-3406 | |
Not Available |
Full Name | Carol Buentello |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 420 W Magnetic St, Marquette, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720429566 | NPI | - | NPPES |
100178486 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LN0000X | Nurse Practitioner - Neonatal | 4704222255 (Michigan) | Secondary |
363L00000X | Nurse Practitioner | 10078 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Aurora Advanced Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
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Carol Buentello, NNP-BC 374 N Noren Lake Dr, Gwinn, MI 49841-9062 Ph: (906) 360-6800 | Carol Buentello, NNP-BC 420 W Magnetic St, Marquette, MI 49855-2700 Ph: (906) 225-3406 |
Lisa Lee Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave Ste 35, Marquette, MI 49855 Phone: 906-449-1140 Fax: 906-449-1844 | |
Rodney Riesland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, Ste 344, Marquette, MI 49855 Phone: 906-225-3910 Fax: 906-225-4529 | |
Angela J Rose-kratz, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, Suite 249, Marquette, MI 49855 Phone: 906-225-3333 Fax: 906-225-3788 | |
Mr. Andrew Gerard Boudreau, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-4531 Fax: 906-225-4807 | |
Edith Elaine Weatherford, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, #226, Marquette, MI 49855 Phone: 906-225-3925 Fax: 906-225-4838 | |
Mrs. Rachel Bonsall, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 | |
Caleb Yeargan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 |