Erica Guastella, | |
145 Baynton Ave Ne, Grand Rapids, MI 49503-3747 | |
(616) 550-9689 | |
Not Available |
Full Name | Erica Guastella |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 145 Baynton Ave Ne, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619651197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704345959 (Michigan) | Primary |
Entity Name | Ltc Physician Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841991817 PECOS PAC ID: 8224496575 Enrollment ID: O20230620001465 |
Mailing Address | Practice Location Address |
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Erica Guastella, 145 Baynton Ave Ne, Grand Rapids, MI 49503-3747 Ph: (616) 550-9689 | Erica Guastella, 145 Baynton Ave Ne, Grand Rapids, MI 49503-3747 Ph: (616) 550-9689 |
Paul Dieleman, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1131 Ionia Ave Nw, Grand Rapids, MI 49503 Phone: 616-259-7900 Fax: 616-259-7909 | |
Dr. Katherine Pruss, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3201 Burton St Se, Sb 260, Grand Rapids, MI 49546 Phone: 616-526-6808 | |
Vanessa Rae Smitko, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860 | |
Khira Lauren Benson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150 | |
Cassandra Cummings, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-486-6790 | |
Anne Therese Beauchamp, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 Medical Park Dr Se, Grand Rapids, MI 49546 Phone: 616-942-9610 | |
Mary Barr, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-391-3759 |