Rose M Roth-bowersock, PNP-BC | |
451 Health Pkwy, Suite E, Paw Paw, MI 49079-8242 | |
(269) 655-3090 | |
(269) 655-0763 |
Full Name | Rose M Roth-bowersock |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 451 Health Pkwy, Paw Paw, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417937020 | NPI | - | NPPES |
1417937020 | Medicaid | MI | |
4469434 | Medicaid | MI | |
1235131137 | Other | MI | BCBSM - BLH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 470420936 (Michigan) | Primary |
Entity Name | Bronson Lakeview Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235131137 PECOS PAC ID: 9032008495 Enrollment ID: O20051027001022 |
Mailing Address | Practice Location Address |
---|---|
Rose M Roth-bowersock, PNP-BC 451 Health Pkwy, Suite E, Paw Paw, MI 49079-8242 Ph: (269) 655-3090 | Rose M Roth-bowersock, PNP-BC 451 Health Pkwy, Suite E, Paw Paw, MI 49079-8242 Ph: (269) 655-3090 |
Mrs. Heidi Lucas Sward, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 451 Health Pkwy Ste F, Paw Paw, MI 49079 Phone: 269-655-3080 | |
Mrs. Marisa Ruth Leighton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 451 Health Pkwy, Suite A, Paw Paw, MI 49079 Phone: 269-657-2550 Fax: 269-657-2285 | |
Sara Bailey, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 451 Health Pkwy, Suite A, Paw Paw, MI 49079 Phone: 269-657-2550 Fax: 269-657-2285 | |
Michelle Cooper, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 451 Health Pkwy Ste B, Paw Paw, MI 49079 Phone: 269-655-3065 | |
Ms. Jamie Lynn Chiles, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Suite F, Paw Paw, MI 49079 Phone: 269-655-3080 Fax: 269-655-0761 | |
Jennifer Renae Hilton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 451 Health Pkwy Ste F, Paw Paw, MI 49079 Phone: 269-655-3080 |