Donald Lake, FNP-C | |
1221 Pine Grove Ave, Mciaren Port Huron, Port Huron, MI 48060 | |
(810) 987-5000 | |
(810) 985-2669 |
Full Name | Donald Lake |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1221 Pine Grove Ave, Port Huron, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871014944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704210937 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mclaren Port Huron | Port huron, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mclaren Port Huron | 9931018702 | 40 |
Entity Name | Mclaren Port Huron |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386888170 PECOS PAC ID: 9931018702 Enrollment ID: O20040204000779 |
Mailing Address | Practice Location Address |
---|---|
Donald Lake, FNP-C 1221 Pine Grove Ave, Mciaren Port Huron, Port Huron, MI 48060 Ph: (810) 987-5000 | Donald Lake, FNP-C 1221 Pine Grove Ave, Mciaren Port Huron, Port Huron, MI 48060 Ph: (810) 987-5000 |
Ms. Margaret Ann Gressle, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
Justine Schrader, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1979 Holland Ave, Port Huron, MI 48060 Phone: 810-982-1200 | |
Amy Storey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-2669 | |
Carol Lydia Wiediger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Mrs. Sarah Colleen Ingles, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2875 Henry St, Port Huron, MI 48060 Phone: 810-966-7804 Fax: 810-987-9148 | |
Mrs. Elizabeth May Helmreich, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Stone St, Suite 5, Port Huron, MI 48060 Phone: 810-966-9556 Fax: 810-966-4898 | |
Gudalia Fajardo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2603 Electric Ave Ste 1, Port Huron, MI 48060 Phone: 810-987-5252 Fax: 810-987-2120 |