Ryan Michael Mackenzie, | |
3647 Forest Spring Dr, Lake Orion, MI 48359-1590 | |
(248) 860-3190 | |
Not Available |
Full Name | Ryan Michael Mackenzie |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Acute Care |
Location | 3647 Forest Spring Dr, Lake Orion, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891570453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 4704268806 (Michigan) | Primary |
Entity Name | University Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
Mailing Address | Practice Location Address |
---|---|
Ryan Michael Mackenzie, 3647 Forest Spring Dr, Lake Orion, MI 48359-1590 Ph: (248) 860-3190 | Ryan Michael Mackenzie, 3647 Forest Spring Dr, Lake Orion, MI 48359-1590 Ph: (248) 860-3190 |
Amy Olds, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1455 S Lapeer Rd Ste 102, Lake Orion, MI 48360 Phone: 248-232-0100 | |
Mrs. Jennifer Myers, MSN NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1428 S Lapeer Rd, Lake Orion, MI 48360 Phone: 248-693-0543 | |
Joanna Eddy, RN, BSN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1422 S Lapeer Rd, Lake Orion, MI 48360 Phone: 248-257-4016 Fax: 248-693-3683 | |
Karma Maxwell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3812 High Grove Way, Lake Orion, MI 48360 Phone: 248-802-4719 | |
Ms. Susan Louise Lyons, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 785 N Lapeer Rd, Suite 100, Lake Orion, MI 48362 Phone: 248-693-4271 | |
Jeffrey Thomas Snyder, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1455 S Lapeer Rd Ste 102, Lake Orion, MI 48360 Phone: 248-232-0100 | |
Erin Simmerman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1428 S Lapeer Rd, Lake Orion, MI 48360 Phone: 248-645-0840 |