Lisa Rae Woodruff, ANP | |
200 Michigan Ave W Ste 103, Battle Creek, MI 49017-3632 | |
(269) 598-7488 | |
Not Available |
Full Name | Lisa Rae Woodruff |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 200 Michigan Ave W Ste 103, Battle Creek, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346510252 | NPI | - | NPPES |
1801818752 | Other | MI | BCBSM - BRONSON LAKEVIEW BEHAVIORAL MEDICINE |
1346510252 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 4704253495 (Michigan) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 185256 (Alaska) | Primary |
Entity Name | Bronson Lakeview Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235131137 PECOS PAC ID: 9032008495 Enrollment ID: O20051027001022 |
Entity Name | River Journey Memory Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326705294 PECOS PAC ID: 4284026766 Enrollment ID: O20220112002241 |
Mailing Address | Practice Location Address |
---|---|
Lisa Rae Woodruff, ANP 28284 62nd Ave, Lawton, MI 49065-5613 Ph: (269) 547-7630 | Lisa Rae Woodruff, ANP 200 Michigan Ave W Ste 103, Battle Creek, MI 49017-3632 Ph: (269) 598-7488 |
Chantelle Remenak, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 181 Emmett St W, Battle Creek, MI 49037 Phone: 269-966-2600 | |
Jessica L Cotton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5161 B Dr S, Suite A, Battle Creek, MI 49015 Phone: 269-969-6099 Fax: 269-969-6089 | |
Angela K Schutte, RXN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 675 Wagner Dr, Battle Creek, MI 49017 Phone: 269-969-6244 | |
Mrs. Holly Marie Weaver, A-GNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1125 Michigan Ave E, Ste. 5, Battle Creek, MI 49014 Phone: 269-969-6014 | |
Mohiuddin Rasel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5500 Armstrong Rd, Battle Creek, MI 49037 Phone: 269-966-5600 | |
Dr. Wen Hsin Ku, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Michigan Ave W Ste 103, Battle Creek, MI 49017 Phone: 269-441-9300 | |
Ms. Irene Nancy Meholic, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5500 Armstrong Rd, Battle Creek, MI 49015 Phone: 269-966-5600 |