Mr Mark L Passow, FNP-BC | |
1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | |
(734) 936-4000 | |
Not Available |
Full Name | Mr Mark L Passow |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 1500 E Medical Center Dr, Ann Arbor, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871908897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704248035 (Michigan) | Secondary |
363L00000X | Nurse Practitioner | 4704248035 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Munson Healthcare Grayling Hospital | Grayling, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Munson Healthcare Grayling | 2062736655 | 51 |
Munson Medical Center | 3072426287 | 262 |
Nova Medica Pllc | 6901938489 | 6 |
Entity Name | Munson Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904 |
Entity Name | Munson Healthcare Otsego Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164628426 PECOS PAC ID: 8325942535 Enrollment ID: O20040305000525 |
Entity Name | Nova Medica Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417979360 PECOS PAC ID: 6901938489 Enrollment ID: O20100719000825 |
Entity Name | Munson Healthcare Grayling |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710383351 PECOS PAC ID: 2062736655 Enrollment ID: O20150326000110 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark L Passow, FNP-BC 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 936-4000 | Mr Mark L Passow, FNP-BC 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000 |
Mrs. Paige Christine Ledlow, MS, RN, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3214 Alpine Dr, Ann Arbor, MI 48108 Phone: 614-562-0824 | |
Nina K Bibicoff, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4260 Plymouth Rd, Ann Arbor, MI 48109 Phone: 734-764-6831 Fax: 734-647-8535 | |
Wilma Anne Mackenzie, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Donald Lawson Jr., NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 East Medical Center Dr, 3rd Floor C.s. Mott Children's Hospital Recp C, Ann Arbor, MI 48109 Phone: 734-936-5780 | |
Ms. Alexis Mae Punches, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, 12th Floor C.s. Mott Childrens Hospital Rm 525, Ann Arbor, MI 48109 Phone: 734-764-5302 | |
Shannon Marie Canterbury, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Amber Nicole Mason, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Drive, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109 Phone: 888-287-1082 |