Ms Faith Elise Maddock, FNP-BC | |
3200 W Centre Ave Ste 203, Portage, MI 49024-4889 | |
(269) 324-0799 | |
Not Available |
Full Name | Ms Faith Elise Maddock |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 3200 W Centre Ave Ste 203, Portage, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477218279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704378304 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bronson Methodist Hospital | 0244148633 | 591 |
Entity Name | Bronson Methodist Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
Mailing Address | Practice Location Address |
---|---|
Ms Faith Elise Maddock, FNP-BC 1096 S Wildwood Ave, Kankakee, IL 60901-5374 Ph: (630) 254-4063 | Ms Faith Elise Maddock, FNP-BC 3200 W Centre Ave Ste 203, Portage, MI 49024-4889 Ph: (269) 324-0799 |
Mrs. April Klavinger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-324-8600 | |
Felicia Desmit, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare 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 |