| Kristie Koczenasz, APRN,BC | |
|
5701 Bow Pointe Dr, Suite 280, Clarkston, MI 48346-3198 | |
| (248) 922-6833 | |
| (248) 922-6831 |
| Full Name | Kristie Koczenasz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 5701 Bow Pointe Dr, Clarkston, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639242597 | NPI | - | NPPES |
| KK230739 | Other | MI | BLUE CROSS BLUE SHIELD |
| 5193349 | Medicaid | MI | |
| CH3766 | Other | MI | RAILROAD MEDICARE GROUP |
| 5193358 | Medicaid | MI | |
| 5193320 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704230739 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristie Koczenasz, APRN,BC 5701 Bow Pointe Dr, Suite 280, Clarkston, MI 48346-3198 Ph: (248) 922-6833 | Kristie Koczenasz, APRN,BC 5701 Bow Pointe Dr, Suite 280, Clarkston, MI 48346-3198 Ph: (248) 922-6833 |
Mrs. Susan Louise Clark, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5701 Bow Pointe Dr, Suite 225, Clarkston, MI 48346 Phone: 248-384-8300 Fax: 248-384-8309 | |
Bradley David Winter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6549 Town Center Dr Ste A, Clarkston, MI 48346 Phone: 800-395-3223 | |
Kimberly Marie Visintine, DNP, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6315 Crab Apple St, Clarkston, MI 48346 Phone: 248-207-0206 | |
Gabrielle Domenica Fazio, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5701 Bow Pointe Dr Ste 120, Clarkston, MI 48346 Phone: 248-922-6880 | |
Suzanne Marie Lugger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5028 Ridge Trl S, Clarkston, MI 48348 Phone: 248-568-7189 | |
Cindy Kay Fulton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7013 Oakhurst Ridge Rd, Clarkston, MI 48348 Phone: 989-670-9510 | |
Daniel Joseph Dean, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7300 Dixie Hwy Ste 1000, Clarkston, MI 48346 Phone: 517-882-3732 Fax: 517-882-3633 |