Ellen R Walukas, DNP | |
2305 Genoa Business Park Dr Ste 200, Brighton, MI 48114-7005 | |
(810) 494-6840 | |
Not Available |
Full Name | Ellen R Walukas |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2305 Genoa Business Park Dr Ste 200, Brighton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508581851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704344232 (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209.029563 (Illinois) | Primary |
Entity Name | Iha Health Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Mailing Address | Practice Location Address |
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Ellen R Walukas, DNP Po Box 746721, Atlanta, GA 30374-6721 Ph: (773) 352-1515 | Ellen R Walukas, DNP 2305 Genoa Business Park Dr Ste 200, Brighton, MI 48114-7005 Ph: (810) 494-6840 |
Jana Margrette Orr, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Genoa Business Park Dr Ste 100, Brighton, MI 48114 Phone: 517-882-3732 Fax: 517-882-3633 | |
Renee Nicole Siner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7500 Challis Rd, 2nd Floor, Brighton, MI 48116 Phone: 810-263-4000 | |
Maria Kottke, FPMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3222 Eden Trl, Brighton, MI 48114 Phone: 810-623-1226 | |
Jodi Lynn Spiegelberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8001 Challis Rd, Brighton, MI 48116 Phone: 810-227-9510 | |
Suzanne Kathleen Dubuque, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7743 Grand River Rd Ste 101, Brighton, MI 48114 Phone: 810-494-5433 | |
Lisa A Perna, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5797 Felske Dr, Brighton, MI 48116 Phone: 833-773-8482 Fax: 904-648-6300 | |
Jenna Larkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8680 W Grand River Ave, Brighton, MI 48116 Phone: 810-227-5008 |