Ms Bridgette C Dyson, FNP-BC | |
1695 12 Mile Rd Ste 220, Berkley, MI 48072-2100 | |
(248) 582-1480 | |
Not Available |
Full Name | Ms Bridgette C Dyson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1695 12 Mile Rd Ste 220, Berkley, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306120928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704210331 (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4704210331 (Michigan) | Primary |
Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
---|---|
Ms Bridgette C Dyson, FNP-BC 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1865 | Ms Bridgette C Dyson, FNP-BC 1695 12 Mile Rd Ste 220, Berkley, MI 48072-2100 Ph: (248) 582-1480 |
Sandy Aller, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3113 Phillips Ave, Berkley, MI 48072 Phone: 248-200-8109 | |
Ali Noureddine Berro, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3270 Greenfield Rd, Berkley, MI 48072 Phone: 248-268-1525 | |
Danielle Marie Saunders, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2635 Coolidge Hwy, Berkley, MI 48072 Phone: 248-541-2512 | |
Marla L. Kalawa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27901 Woodward Ave Ste 300, Berkley, MI 48072 Phone: 248-545-0070 | |
Maryam H Awad, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3270 Greenfield Rd, Berkley, MI 48072 Phone: 248-268-1525 | |
Mariam Kirma, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1695 12 Mile Rd, Berkley, MI 48072 Phone: 248-307-7701 | |
Kristen Marie Moebs, A-GNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1949 W 12 Mile Rd, Suite 100, Berkley, MI 48072 Phone: 248-551-8305 |