| Ellie Rudd, | |
|
303 Congress St, Sheridan, MI 48884 | |
| (989) 291-5077 | |
| Not Available |
| Full Name | Ellie Rudd |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 303 Congress St, Sheridan, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548795909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704302413 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Michigan Health-sparrow Carson | Carson city, MI | Hospital |
| University Of Michigan Health-sparrow Ionia | Ionia, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sparrow Carson Hospital | 7113836701 | 63 |
| Sparrow Ionia Hospital | 0042118887 | 42 |
| Entity Name | Sparrow Ionia Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700820065 PECOS PAC ID: 0042118887 Enrollment ID: O20031230000664 |
| Entity Name | Edward W Sparrow Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831139088 PECOS PAC ID: 6709799166 Enrollment ID: O20040102000790 |
| Entity Name | Sparrow Carson Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598490542 PECOS PAC ID: 7113836701 Enrollment ID: O20040126000046 |
| Entity Name | Sparrow Ionia Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700820065 PECOS PAC ID: 0042118887 Enrollment ID: O20060322000295 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Rudd, 303 Congress St, Sheridan, MI 48884-9215 Ph: Not Available | Ellie Rudd, 303 Congress St, Sheridan, MI 48884 Ph: (989) 291-5077 |
Nicole P Falatic, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Congress St, Sheridan, MI 48884 Phone: 989-291-5077 Fax: 989-291-5348 |
Ashley S Saylor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 303 Congress St, Sheridan, MI 48884 Phone: 989-291-5077 |