Joseph Mashni, FNP | |
460 Medical Park Dr Ste 200, Watervliet, MI 49098-9225 | |
(269) 463-3600 | |
(269) 463-8206 |
Full Name | Joseph Mashni |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 460 Medical Park Dr Ste 200, Watervliet, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265424527 | NPI | - | NPPES |
104208690 | Medicaid | MI | |
104208705 | Medicaid | MI | |
140294150 | Medicaid | MI | |
104208723 | Medicaid | MI | |
104208714 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 47-04-141572 (Michigan) | Secondary |
363L00000X | Nurse Practitioner | 4704141572 (Michigan) | Primary |
Entity Name | Ascension Borgess Lee Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194717504 PECOS PAC ID: 7719881002 Enrollment ID: O20031119000763 |
Entity Name | Lakeland Community Hospital Watervliet |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023114741 PECOS PAC ID: 7416942750 Enrollment ID: O20040416000984 |
Entity Name | Lakeland Medical Practices |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
Entity Name | Lakeland Community Hospital Watervliet |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538592753 PECOS PAC ID: 7416942750 Enrollment ID: O20131029002202 |
Mailing Address | Practice Location Address |
---|---|
Joseph Mashni, FNP 460 Medical Park Dr Ste 200, Watervliet, MI 49098-9225 Ph: (269) 463-3600 | Joseph Mashni, FNP 460 Medical Park Dr Ste 200, Watervliet, MI 49098-9225 Ph: (269) 463-3600 |
Angelique Madison, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Park Dr, Watervliet, MI 49098 Phone: 269-463-3600 |