Genevieve T Bastos, NP | |
2700 E Centre Ave, Portage, MI 49002-5500 | |
(269) 286-7050 | |
(269) 286-7051 |
Full Name | Genevieve T Bastos |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 2700 E Centre Ave, Portage, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902843774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 4704216473 (Michigan) | Primary |
Entity Name | Bronson Methodist Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
Entity Name | Ascension Medical Group Promed |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
Mailing Address | Practice Location Address |
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Genevieve T Bastos, NP 5943 Stadium Dr, Ste 3, Kalamazoo, MI 49009-3016 Ph: () - | Genevieve T Bastos, NP 2700 E Centre Ave, Portage, MI 49002-5500 Ph: (269) 286-7050 |
Mrs. April Klavinger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-324-8600 | |
Felicia Desmit, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8225 Moorsbridge Rd, Portage, MI 49024 Phone: 800-395-3223 Fax: 248-620-6405 | |
Miss Manjerngie Cecelia Ndebe, FNP-C, PHD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 451 W. Milham Ave, Portage, MI 49024 Phone: 269-488-9008 Fax: 269-488-9001 | |
Maria Anna Csiszar, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3770 Glenkerry Ct, Portage, MI 49024 Phone: 269-329-2887 Fax: 269-329-2805 | |
Kelsey Lankford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-324-8600 | |
Jonathan Nykamp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 S 12th St, Portage, MI 49024 Phone: 269-978-0444 Fax: 269-978-0447 | |
Christina M Kemple, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7775 Angling Rd, Portage, MI 49024 Phone: 269-324-8670 |