Kelly Magrum, NP-C | |
136 Helle Blvd Apt 113, Dundee, MI 48131-9414 | |
(419) 367-9691 | |
Not Available |
Full Name | Kelly Magrum |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 136 Helle Blvd Apt 113, Dundee, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043672587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704260469 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Promedica Monroe Regional Hospital | Monroe, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Memorial Hospital Corporation | 7012811615 | 25 |
Entity Name | Promedica Central Corporation Of Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588624696 PECOS PAC ID: 7012902265 Enrollment ID: O20040416001163 |
Entity Name | Mercy Memorial Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811097223 PECOS PAC ID: 7012811615 Enrollment ID: O20061212000299 |
Entity Name | Promedica Monroe Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194078055 PECOS PAC ID: 2365696176 Enrollment ID: O20130201000483 |
Mailing Address | Practice Location Address |
---|---|
Kelly Magrum, NP-C 1 Seagate, Ste 800, Toledo, OH 43604-1558 Ph: (419) 367-9691 | Kelly Magrum, NP-C 136 Helle Blvd Apt 113, Dundee, MI 48131-9414 Ph: (419) 367-9691 |
Carolyn Jean Needham, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 Plank Rd, Dundee, MI 48131 Phone: 419-344-9156 | |
Amanda Lawson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Waterstradt Commerce Dr, Dundee, MI 48131 Phone: 734-823-5437 | |
Alexandra Seager Rene, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Powell Dr Ste 2, Dundee, MI 48131 Phone: 734-529-5900 | |
Katelyn Nordyke, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Waterstradt Commerce Dr, Dundee, MI 48131 Phone: 734-823-5437 |