Jill Christine Sidange, PMHNP-BC is a
Nurse Practitioner based in Potterville, Michigan. Jill Christine Sidange is licensed to practice in Michigan (license number 4704265752) and her current practice location is
118 Elizabeth Way # 4, Potterville, Michigan. She can be reached at her office (for appointments etc.) via phone at
(517) 505-2749.
NPI number for Jill Christine Sidange is 1588060750 and her current mailing address is 118 Elizabeth Way # 4, Potterville, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588060750.
Provider's Profile
Full Name | Jill Christine Sidange |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 118 Elizabeth Way # 4, Potterville, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588060750
- Provider Enumeration Date: 11/14/2014
- Last Update Date: 05/26/2021
Medical Identifiers
Medical identifiers for Jill Christine Sidange such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588060750 | NPI | - | NPPES |
4704265752 | Other | MI | N P SPECIALTY CERTIFICATE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 4704265752 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill Christine Sidange is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jill Christine Sidange, PMHNP-BC 118 Elizabeth Way # 4, Potterville, MI 48876-9545 Ph: () - | Jill Christine Sidange, PMHNP-BC 118 Elizabeth Way # 4, Potterville, MI 48876-9545 Ph: (517) 505-2749 |
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