Tami Pettenger, DNP | |
1005 W Green St, Ste 300, Hastings, MI 49058-1712 | |
(269) 948-8411 | |
(269) 948-9874 |
Full Name | Tami Pettenger |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1005 W Green St, Hastings, 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 |
---|---|---|---|
1235676651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704237433 (Michigan) | Secondary |
363L00000X | Nurse Practitioner | 4704237433 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spectrum Health | Grand rapids, MI | Hospital |
Spectrum Health Pennock | Hastings, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pennock Hospital | 4587551015 | 41 |
Spectrum Health Hospitals | 8921904764 | 129 |
Entity Name | Spectrum Health Hospitals |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558407189 PECOS PAC ID: 8921904764 Enrollment ID: O20040120000997 |
Entity Name | Pennock Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518186295 PECOS PAC ID: 4587551015 Enrollment ID: O20040301000595 |
Mailing Address | Practice Location Address |
---|---|
Tami Pettenger, DNP 100 Michigan St Ne, # Mc-845, Grand Rapids, MI 49503-2560 Ph: (269) 948-8411 | Tami Pettenger, DNP 1005 W Green St, Ste 300, Hastings, MI 49058-1712 Ph: (269) 948-8411 |
Kimberly Porter, CNM, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St Ste 301, Hastings, MI 49058 Phone: 269-945-8080 | |
Alia Anthony, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1108 W State St, Suite 3, Hastings, MI 49058 Phone: 269-945-0922 | |
Laura Katherine Bevins, MP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 W Green St, Hastings, MI 49058 Phone: 269-945-1212 | |
Taylor Rose Kroeze, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1108 W State St Ste 3, Hastings, MI 49058 Phone: 269-945-0922 | |
Mrs. Tiffany R Jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1108 W State St, Suite 3, Hastings, MI 49058 Phone: 269-945-0922 Fax: 269-945-4511 | |
Grant Keith Heide, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 W Green St, Hastings, MI 49058 Phone: 269-945-1212 | |
Cindy M Bigler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 W Green St, Suite G001, Hastings, MI 49058 Phone: 269-948-7820 |