Ross E Tisron, NP | |
200 N Park St, West Michigan Cancer Center, Kalamazoo, MI 49007-3731 | |
(269) 382-2500 | |
(269) 373-7478 |
Full Name | Ross E Tisron |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 200 N Park St, Kalamazoo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447204896 | NPI | - | NPPES |
4868770 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704162218 (Michigan) | Primary |
Entity Name | West Michigan Cancer Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447261730 PECOS PAC ID: 8628971199 Enrollment ID: O20040130000961 |
Entity Name | Ella E M Brown Charitable Circle |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366591794 PECOS PAC ID: 1254228745 Enrollment ID: O20040616001008 |
Entity Name | Three Rivers Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720350903 PECOS PAC ID: 8729245584 Enrollment ID: O20140729001948 |
Mailing Address | Practice Location Address |
---|---|
Ross E Tisron, NP 601 John St, Box 42, Kalamazoo, MI 49007-5341 Ph: (269) 341-7806 | Ross E Tisron, NP 200 N Park St, West Michigan Cancer Center, Kalamazoo, MI 49007-3731 Ph: (269) 382-2500 |
Danielle Allman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Kalamazoo, MI 49007 Phone: 269-341-7654 Fax: 269-341-8294 | |
Susan Marie Perez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 W Paterson St, Kalamazoo, MI 49007 Phone: 269-349-2641 | |
Teagan Allison, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M 124, Kalamazoo, MI 49007 Phone: 269-341-7500 Fax: 269-341-7540 | |
Sarah J Ashley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4230 S Westnedge Ave Ste 1, Kalamazoo, MI 49008 Phone: 877-448-3627 Fax: 630-654-4253 | |
Daniel Hodge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 W Paterson St, Kalamazoo, MI 49007 Phone: 269-349-2641 | |
Joan Lynn Duckworth, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7000 Portage Road, Kalamazoo, MI 49001 Phone: 269-833-9702 | |
Rebecca Jean Carter, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6220 W Main St, Kalamazoo, MI 49009 Phone: 269-276-4744 |