Tamela Lynn Lassila, NP | |
2366 Oak Valley Dr, Ann Arbor, MI 48103-8944 | |
(877) 227-8823 | |
Not Available |
Full Name | Tamela Lynn Lassila |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 2366 Oak Valley Dr, Ann Arbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346871191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 4704246866 (Michigan) | Primary |
363L00000X | Nurse Practitioner | AG03190084 (Michigan) | Secondary |
Entity Name | Iha Health Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Mailing Address | Practice Location Address |
---|---|
Tamela Lynn Lassila, NP 24 Frank Lloyd Wright Dr # J2000, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766 | Tamela Lynn Lassila, NP 2366 Oak Valley Dr, Ann Arbor, MI 48103-8944 Ph: (877) 227-8823 |
Mrs. Paige Christine Ledlow, MS, RN, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3214 Alpine Dr, Ann Arbor, MI 48108 Phone: 614-562-0824 | |
Nina K Bibicoff, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4260 Plymouth Rd, Ann Arbor, MI 48109 Phone: 734-764-6831 Fax: 734-647-8535 | |
Wilma Anne Mackenzie, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Donald Lawson Jr., NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 East Medical Center Dr, 3rd Floor C.s. Mott Children's Hospital Recp C, Ann Arbor, MI 48109 Phone: 734-936-5780 | |
Ms. Alexis Mae Punches, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, 12th Floor C.s. Mott Childrens Hospital Rm 525, Ann Arbor, MI 48109 Phone: 734-764-5302 | |
Shannon Marie Canterbury, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Amber Nicole Mason, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Drive, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109 Phone: 888-287-1082 |