Jessica Shantz, PMHNP-BC | |
8150 Old 13 Mile Rd, Warren, MI 48093-8700 | |
(800) 395-3223 | |
(248) 620-6405 |
Full Name | Jessica Shantz |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 8150 Old 13 Mile Rd, Warren, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790255248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704267746 (Michigan) | Primary |
363L00000X | Nurse Practitioner | 4704267746 (Michigan) | Secondary |
Entity Name | Behavioral Infermiera Care Solutions, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568712370 PECOS PAC ID: 8921232158 Enrollment ID: O20131001000582 |
Mailing Address | Practice Location Address |
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Jessica Shantz, PMHNP-BC 6549 Town Center Dr, Clarkston, MI 48346-4824 Ph: (800) 395-3223 | Jessica Shantz, PMHNP-BC 8150 Old 13 Mile Rd, Warren, MI 48093-8700 Ph: (800) 395-3223 |
Lauren Koenig, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091 Phone: 313-416-6262 | |
Rowena Callo Teodoro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27560 Hoover Rd., Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400 | |
Mrs. Lauren Ashley Zipay, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000 | |
Li Song, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29245 Ryan Rd Ste 300, Warren, MI 48092 Phone: 586-578-0222 | |
Olga Dmitryuk, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11480 E 13 Mile Rd, Warren, MI 48093 Phone: 586-216-9253 | |
Alexander Cole-selvaggio, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27101 Schoenherr Rd, Warren, MI 48088 Phone: 586-758-5800 Fax: 586-758-5841 | |
Jenny Dessinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27560 Hoover Rd, Warren, MI 48093 Phone: 586-757-6400 |