Kaytlin Mather, NP | |
19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | |
(313) 884-5522 | |
Not Available |
Full Name | Kaytlin Mather |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 19229 Mack Ave Ste 24, Grosse Pointe Woods, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1730806001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704325672 (Michigan) | Primary |
Entity Name | Ascension St John Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
Mailing Address | Practice Location Address |
---|---|
Kaytlin Mather, NP 15563 Golden Dr, Macomb, MI 48044-3164 Ph: (248) 835-6700 | Kaytlin Mather, NP 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 Ph: (313) 884-5522 |
Alitha V Glenn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Michigan, 19259 Linville St, Grosse Pointe Woods, MI 48236 Phone: 248-346-6959 | |
Kendall Morgan Rabaut, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20030 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-884-3380 Fax: 313-884-9756 | |
Mrs. Oknang Bartok, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20160 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-882-8600 Fax: 313-882-0737 | |
Jessica Lynn Kata, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19229 Mack Ave Ste 28, Grosse Pointe Woods, MI 48236 Phone: 313-647-3200 | |
Gail M Grunkemeyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236 Phone: 313-884-5522 Fax: 313-884-6054 | |
Dr. Anna F Boston, DNP-ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19229 Mack Ave Ste 23, Grosse Pointe Woods, MI 48236 Phone: 313-647-3252 Fax: 313-647-3349 | |
Amy Stros, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19251 Mack Ave, Suite 100, Grosse Pointe Woods, MI 48236 Phone: 313-343-3740 |