Mrs Amanda M Bustle, APN | |
2680 W Centre Ave, Portage, MI 49024-4828 | |
(269) 324-2400 | |
Not Available |
Full Name | Mrs Amanda M Bustle |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 2680 W Centre Ave, Portage, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114464765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 209.014881 (Illinois) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 4704419600 (Michigan) | Primary |
Entity Name | Florida Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851518211 PECOS PAC ID: 9931017126 Enrollment ID: O20040515000037 |
Entity Name | Florida Community Health Centers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346619244 PECOS PAC ID: 9931017126 Enrollment ID: O20160222001336 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda M Bustle, APN 5827 Corporate Way, West Palm Beach, FL 33407-2000 Ph: (561) 844-9443 | Mrs Amanda M Bustle, APN 2680 W Centre Ave, Portage, MI 49024-4828 Ph: (269) 324-2400 |
Felicia Desmit, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8225 Moorsbridge Rd, Portage, MI 49024 Phone: 800-395-3223 Fax: 248-620-6405 | |
Miss Manjerngie Cecelia Ndebe, FNP-C, PHD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 451 W. Milham Ave, Portage, MI 49024 Phone: 269-488-9008 Fax: 269-488-9001 | |
Maria Anna Csiszar, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3770 Glenkerry Ct, Portage, MI 49024 Phone: 269-329-2887 Fax: 269-329-2805 | |
Kelsey Lankford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-324-8600 | |
Jonathan Nykamp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 S 12th St, Portage, MI 49024 Phone: 269-978-0444 Fax: 269-978-0447 | |
Christina M Kemple, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7775 Angling Rd, Portage, MI 49024 Phone: 269-324-8670 |