Leah Bethel, | |
11 N Maple St, Grant, MI 49327-7900 | |
(231) 834-0444 | |
(231) 834-0200 |
Full Name | Leah Bethel |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 11 N Maple St, Grant, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154035046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 4704383523 (Michigan) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 4704383523 (Michigan) | Primary |
Entity Name | Baldwin Family Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689783698 PECOS PAC ID: 1153215413 Enrollment ID: O20040209001155 |
Mailing Address | Practice Location Address |
---|---|
Leah Bethel, 520 Cobb St, Cadillac, MI 49601-2588 Ph: (231) 876-6527 | Leah Bethel, 11 N Maple St, Grant, MI 49327-7900 Ph: (231) 834-0444 |
Michelle Leigh Regan, PPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 95 E 120th St, Grant, MI 49327 Phone: 231-834-1350 Fax: 231-834-1355 | |
Ms. Suzanne M. Van Wieren, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 71 S Front St, Grant, MI 49327 Phone: 231-834-5676 Fax: 231-834-7211 | |
Amanda Weber, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 N Maple St, Grant, MI 49327 Phone: 231-834-0444 Fax: 231-834-0200 | |
Sheryl Sue Bourzac, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 96 E 120th St, Grant, MI 49327 Phone: 231-834-0444 Fax: 231-834-0200 |