Ms Lisa Ann Dennis, | |
468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | |
(313) 473-1605 | |
(313) 473-1934 |
Full Name | Ms Lisa Ann Dennis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 468 Cadieux Rd, Grosse Pointe, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497001267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 4704207550 (Michigan) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 4704207550 (Michigan) | Primary |
Entity Name | Beaumont Medical Group Hospital Based Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
Mailing Address | Practice Location Address |
---|---|
Ms Lisa Ann Dennis, 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1865 | Ms Lisa Ann Dennis, 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 Ph: (313) 473-1605 |
Ms. Rosanne Marie Skonieczny, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-343-1605 Fax: 313-343-1934 | |
Ms. Corie Peterson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16815 E Jefferson Ave Ste 120, Grosse Pointe, MI 48230 Phone: 586-498-4400 | |
Molly Czoykowski, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17120 Kercheval Ave, Grosse Pointe, MI 48230 Phone: 313-886-3300 | |
Michele Gamel, DNP, RN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 810-305-1455 | |
Esther Malka Selik, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000 | |
Mrs. Christina Tharrett, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000 | |
Simona Surugiu, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000 |