Susan Kay Ercia, | |
3427 Farr Rd Ste B, Fruitport, MI 49415-8854 | |
(231) 865-7625 | |
(231) 865-6212 |
Full Name | Susan Kay Ercia |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 3427 Farr Rd Ste B, Fruitport, 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 |
---|---|---|---|
1740839000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 19042140253 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Theoria Medical | 5395098339 | 100 |
Entity Name | Theoria Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
Mailing Address | Practice Location Address |
---|---|
Susan Kay Ercia, 3427 Farr Rd Ste B, Fruitport, MI 49415-8854 Ph: (616) 481-0132 | Susan Kay Ercia, 3427 Farr Rd Ste B, Fruitport, MI 49415-8854 Ph: (231) 865-7625 |
Jennifer Marie Zerkle, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4038 Heights Ravenna Rd, Fruitport, MI 49415 Phone: 231-855-6244 | |
Delphia Croff, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3427 Farr Rd Ste B, Fruitport, MI 49415 Phone: 231-865-1625 Fax: 231-865-6212 | |
Megan Marie Michelli, A-GNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4270 S Broton Rd, Fruitport, MI 49415 Phone: 231-750-4591 |