Leslie S Wooldridge, NP | |
6401 Prairie St, Suite 1700, Norton Shores, MI 49444-7840 | |
(231) 727-7944 | |
(231) 724-7812 |
Full Name | Leslie S Wooldridge |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 6401 Prairie St, Norton Shores, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144264821 | NPI | - | NPPES |
4837110 | Medicaid | MI | |
MI1763011 | Other | MI | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704099434 (Michigan) | Primary |
Entity Name | Michigan Post-acute Medical Services 1 Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669901567 PECOS PAC ID: 2163798877 Enrollment ID: O20171025001292 |
Entity Name | Mi Pacs 2 Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205418357 PECOS PAC ID: 2264831577 Enrollment ID: O20210518002473 |
Mailing Address | Practice Location Address |
---|---|
Leslie S Wooldridge, NP Po Box 1847, Muskegon, MI 49443-1847 Ph: (231) 727-4444 | Leslie S Wooldridge, NP 6401 Prairie St, Suite 1700, Norton Shores, MI 49444-7840 Ph: (231) 727-7944 |
Ms. Charlotte Rose Tatangelo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6425 S Harvey St, Norton Shores, MI 49444 Phone: 231-737-3469 Fax: 231-737-4548 | |
Alicia A Gappa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3570 Henry St Ste 120, Norton Shores, MI 49441 Phone: 231-672-7000 | |
Michelle J Bray, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5933 Grand Haven Rd, Norton Shores, MI 49441 Phone: 231-799-3300 | |
Madison Niederer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6425 Harvey St, Norton Shores, MI 49444 Phone: 231-737-3469 | |
Jennifer Marie Lake, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3611 Henry St, Norton Shores, MI 49441 Phone: 616-952-9957 | |
Darci Samuel, FNP-C, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2177 Forest Park Rd, Norton Shores, MI 49441 Phone: 269-286-2025 |