Miss Susan Marie Koger, NP | |
1615 Michigan Ave, Baldwin, MI 49304-7984 | |
(231) 745-4624 | |
(231) 745-5031 |
Full Name | Miss Susan Marie Koger |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 1615 Michigan Ave, Baldwin, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841591476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704139637 (Michigan) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 4704139637 (Michigan) | Primary |
Entity Name | Drynachan Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891044657 PECOS PAC ID: 2264718824 Enrollment ID: O20180222002240 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
Mailing Address | Practice Location Address |
---|---|
Miss Susan Marie Koger, NP 4706 Cooper Ave, Royal Oak, MI 48073-1514 Ph: (248) 310-1270 | Miss Susan Marie Koger, NP 1615 Michigan Ave, Baldwin, MI 49304-7984 Ph: (231) 745-4624 |
Mrs. Lisa Joan West, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-4928 | |
Tracy Lynne Moody, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 | |
Samantha N Lopez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-4928 | |
Cynthia Lucille Sherwood, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-5031 |