Kristen Leigh Carlson, | |
44199 Dequindre Rd, Troy, MI 48085-1128 | |
(248) 964-8500 | |
Not Available |
Full Name | Kristen Leigh Carlson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 44199 Dequindre Rd, Troy, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629401260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209010651 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 4704266015 (Michigan) | Primary |
Entity Name | Beaumont Medical Group- Specialty Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
---|---|
Kristen Leigh Carlson, 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Kristen Leigh Carlson, 44199 Dequindre Rd, Troy, MI 48085-1128 Ph: (248) 964-8500 |
Melissa Baker, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5440 Corporate Dr, Troy, MI 48098 Phone: 866-902-5854 | |
Dr. Martha M Sturgeon, DNP ACNS-BC NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6963 Killarney Dr, Troy, MI 48098 Phone: 248-879-2871 | |
Kristen M Light, DNP, RN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5000 | |
Mrs. Kimberly Anne Fox, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2041 E Square Lake Rd Ste 300, Troy, MI 48085 Phone: 248-813-0124 Fax: 248-879-0148 | |
Ellen Tan, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3290 W Big Beaver Rd Ste 150, Troy, MI 48084 Phone: 248-792-6527 | |
Mrs. Bernadette Sarah Below, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2095 E Big Beaver Rd Ste 375, Troy, MI 48083 Phone: 248-705-6223 Fax: 248-253-1462 | |
Brian August Prize, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-303-4832 |