Ericka Marie Distefano, FNP, ACUPUNCTURIST | |
301 Explorer St, Gwinn, MI 49841-2813 | |
(906) 346-9275 | |
(906) 372-3230 |
Full Name | Ericka Marie Distefano |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 301 Explorer St, Gwinn, 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 |
---|---|---|---|
1639749963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704293102 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marquette General Hospital | Marquette, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Upper Great Lakes Family Health Center | 1951432384 | 31 |
Entity Name | Upper Great Lakes Family Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700103777 PECOS PAC ID: 1951432384 Enrollment ID: O20100629000853 |
Entity Name | Dlp Marquette Physician Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
Entity Name | Bell Physician Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578992491 PECOS PAC ID: 4981833654 Enrollment ID: O20140130000127 |
Mailing Address | Practice Location Address |
---|---|
Ericka Marie Distefano, FNP, ACUPUNCTURIST 301 Explorer St, Gwinn, MI 49841-2813 Ph: (906) 346-9275 | Ericka Marie Distefano, FNP, ACUPUNCTURIST 301 Explorer St, Gwinn, MI 49841-2813 Ph: (906) 346-9275 |
Ms. Sandra Croasdell, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Explorer St, Gwinn, MI 49841 Phone: 190-634-6492 Fax: 906-346-6474 | |
Mrs. Autumn M Trudeau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 West M-35, Gwinn, MI 49841 Phone: 906-372-4002 Fax: 906-372-4012 | |
Ashley E Croasdell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Explorer St, Gwinn, MI 49841 Phone: 906-346-4924 Fax: 906-372-3230 | |
Shayna M Orlich, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 E M35, Gwinn, MI 49841 Phone: 906-346-9275 Fax: 906-346-5616 | |
Mrs. Melissa Kristine Hinkhouse, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Explorer St, Gwinn, MI 49841 Phone: 906-346-9275 Fax: 906-346-6474 | |
Mrs. Emily Starr, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 E M35, Gwinn, MI 49841 Phone: 906-346-9275 Fax: 906-346-5616 |