| Kalkaska Memorial Health Center | |
|
419 S Coral St Kalkaska MI 49646-2503 | |
| (231) 258-7500 | |
| (231) 258-7527 |
| Full Name | Kalkaska Memorial Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 419 S Coral St, Kalkaska, Michigan |
| Authorized Official Name and Position | Kevin Rogols (CEO) |
| Authorized Official Contact | 2312587501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalkaska Memorial Health Center Po Box 916 Traverse City MI 49685-0916 Ph: () - | Kalkaska Memorial Health Center 419 S Coral St Kalkaska MI 49646-2503 Ph: (231) 258-7500 |
| NPI Number | 1013183060 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 09/10/2021 |
| Certification Date | 09/10/2021 |
| Medicare PECOS PAC ID | 3577536002 |
|---|---|
| Medicare Enrollment ID | O20040813000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013183060 | NPI | - | NPPES |
| 700D060020 | Other | BLUE CARE NETWORK | |
| 700D060020 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| Provider Name | Natalie Jean Okerson-sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972503324 PECOS PAC ID: 5597731166 Enrollment ID: I20040903001074 |
| Provider Name | Joy L Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912959404 PECOS PAC ID: 4981672268 Enrollment ID: I20040923001005 |
| Provider Name | Karen L Meyer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831304690 PECOS PAC ID: 3870550585 Enrollment ID: I20041214001115 |
| Provider Name | John P Milliken |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013048057 PECOS PAC ID: 9234129552 Enrollment ID: I20050118000205 |
| Provider Name | David Darwin Nicolaou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184676181 PECOS PAC ID: 7911943154 Enrollment ID: I20050628001221 |
| Provider Name | Jennifer Ann Leino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588648539 PECOS PAC ID: 1658317151 Enrollment ID: I20050706001010 |
| Provider Name | Michael J Peters |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982628848 PECOS PAC ID: 1658308457 Enrollment ID: I20050723000118 |
| Provider Name | Sally A Ancel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811000466 PECOS PAC ID: 1153359526 Enrollment ID: I20050728000137 |
| Provider Name | Brian D Heeringa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497789010 PECOS PAC ID: 1759311475 Enrollment ID: I20050812000658 |
| Provider Name | James G Milliken |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467459867 PECOS PAC ID: 4981619137 Enrollment ID: I20060209000526 |
| Provider Name | Mark M Lowis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720100761 PECOS PAC ID: 8325053127 Enrollment ID: I20060217000281 |
| Provider Name | Garrick R Cvitkovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659316784 PECOS PAC ID: 4981616653 Enrollment ID: I20060620000205 |
| Provider Name | Brandon R Peters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285677179 PECOS PAC ID: 3577567023 Enrollment ID: I20060914000261 |
| Provider Name | Douglas J Gentry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245224435 PECOS PAC ID: 6204932023 Enrollment ID: I20070510000383 |
| Provider Name | Andrew S Boyce |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275637811 PECOS PAC ID: 6305941048 Enrollment ID: I20070814000068 |
| Provider Name | Robert L Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972711653 PECOS PAC ID: 6002909108 Enrollment ID: I20070906000072 |
| Provider Name | Elizabeth T Suminski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467407924 PECOS PAC ID: 4880788744 Enrollment ID: I20070922000077 |
| Provider Name | David S Shapiro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194921387 PECOS PAC ID: 4587736582 Enrollment ID: I20080709000031 |
| Provider Name | John R Reineck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205995057 PECOS PAC ID: 2961575584 Enrollment ID: I20080715000758 |
| Provider Name | Andrew J Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558554808 PECOS PAC ID: 5799859864 Enrollment ID: I20080807000295 |
| Provider Name | Jacob J Manteuffel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952511073 PECOS PAC ID: 7517025844 Enrollment ID: I20081015000326 |
| Provider Name | Aaron P Kurjan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366600066 PECOS PAC ID: 0345393526 Enrollment ID: I20090805000664 |
| Provider Name | Bailey S Groseclose |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730103680 PECOS PAC ID: 1557497989 Enrollment ID: I20100324001161 |
| Provider Name | Richard E Hodgman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275561474 PECOS PAC ID: 1456348283 Enrollment ID: I20100813000105 |
| Provider Name | Jeremy K Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912935867 PECOS PAC ID: 8820122880 Enrollment ID: I20100813000183 |
| Provider Name | Charles J Kerndt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235118456 PECOS PAC ID: 2668418393 Enrollment ID: I20100817000214 |
| Provider Name | Jeffrey V Kyff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467431692 PECOS PAC ID: 3274667928 Enrollment ID: I20100817000241 |
| Provider Name | Mark W Fender |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447205539 PECOS PAC ID: 5395703003 Enrollment ID: I20110203000394 |
| Provider Name | Keith W Eaton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457589053 PECOS PAC ID: 5092984203 Enrollment ID: I20110804000255 |
| Provider Name | Kimberly A Michels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366766081 PECOS PAC ID: 3870752058 Enrollment ID: I20120307000442 |
| Provider Name | Edward E Craven |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316923428 PECOS PAC ID: 9133381262 Enrollment ID: I20120507000220 |
| Provider Name | William E Nowak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194902163 PECOS PAC ID: 3870756588 Enrollment ID: I20120516000489 |
| Provider Name | Jennifer C Schaffler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508063298 PECOS PAC ID: 8921288234 Enrollment ID: I20120523000372 |
| Provider Name | Nathan C Sailor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194017160 PECOS PAC ID: 1759527880 Enrollment ID: I20130416000585 |
| Provider Name | Michael D Peacock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104145200 PECOS PAC ID: 6406005594 Enrollment ID: I20130917000267 |
| Provider Name | Matthew J Shullick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912246513 PECOS PAC ID: 5395989735 Enrollment ID: I20130925000119 |
| Provider Name | Thomas V Ohagan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124273958 PECOS PAC ID: 4183858269 Enrollment ID: I20131002000603 |
| Provider Name | Aaron Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023459914 PECOS PAC ID: 8022247576 Enrollment ID: I20140204001190 |
| Provider Name | Therese A Kaufman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285919530 PECOS PAC ID: 0143450874 Enrollment ID: I20140225002114 |
| Provider Name | Anthony C Hockin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396001095 PECOS PAC ID: 3870747611 Enrollment ID: I20140324001042 |
| Provider Name | George Edward Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578829149 PECOS PAC ID: 0446552921 Enrollment ID: I20160714001328 |
| Provider Name | Stephanie D Markle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992937403 PECOS PAC ID: 9931326196 Enrollment ID: I20160818000182 |
| Provider Name | Rebecca A Otten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013355353 PECOS PAC ID: 6305168451 Enrollment ID: I20160906000417 |
| Provider Name | Evan Parks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437452406 PECOS PAC ID: 1456649193 Enrollment ID: I20161012000547 |
| Provider Name | Andrew S Cole |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1699901611 PECOS PAC ID: 8325272107 Enrollment ID: I20170323001605 |
| Provider Name | Satya Pillay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003297243 PECOS PAC ID: 0143590794 Enrollment ID: I20170714001484 |
| Provider Name | Erika Marie Mcmahon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437567252 PECOS PAC ID: 4183842362 Enrollment ID: I20170824002204 |
| Provider Name | Jennifer K Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124530449 PECOS PAC ID: 8426316530 Enrollment ID: I20171219002309 |
| Provider Name | Jennifer Polanic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790167138 PECOS PAC ID: 8729349717 Enrollment ID: I20180308001684 |
| Provider Name | Bruce S Daman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780191478 PECOS PAC ID: 8426311655 Enrollment ID: I20180420001347 |
| Provider Name | Lori Ann Lemonnier |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023217064 PECOS PAC ID: 5890810360 Enrollment ID: I20180525000084 |
| Provider Name | Taylor A Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205324795 PECOS PAC ID: 2062767999 Enrollment ID: I20180618003119 |
| Provider Name | Kayleigh White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972996619 PECOS PAC ID: 5890042832 Enrollment ID: I20180720002146 |
| Provider Name | Holly Hinds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346733268 PECOS PAC ID: 5698026045 Enrollment ID: I20180924001940 |
| Provider Name | Matthew J Dubiel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114280898 PECOS PAC ID: 7911135256 Enrollment ID: I20181008001654 |
| Provider Name | Michael Delaney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174905905 PECOS PAC ID: 0749593580 Enrollment ID: I20190408002232 |
| Provider Name | Jeffrey Edward Stych |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275984353 PECOS PAC ID: 1456644400 Enrollment ID: I20190613002342 |
| Provider Name | Lindsay Harden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578883609 PECOS PAC ID: 8123331311 Enrollment ID: I20200720001995 |
| Provider Name | Jacob Szafranski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407383615 PECOS PAC ID: 5698191013 Enrollment ID: I20200817001462 |
| Provider Name | Daniel John Spencer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265924724 PECOS PAC ID: 0244649531 Enrollment ID: I20210518001134 |
| Provider Name | Tyler Humphrey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467980102 PECOS PAC ID: 9234554924 Enrollment ID: I20210630003521 |
| Provider Name | Paul K Reynolds |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285095166 PECOS PAC ID: 2769774918 Enrollment ID: I20210913002034 |
| Provider Name | Whitney Ashton Mervau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134720899 PECOS PAC ID: 6002207495 Enrollment ID: I20211218000039 |
| Provider Name | Sarah Ann Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417103714 PECOS PAC ID: 6800964966 Enrollment ID: I20220318002284 |
| Provider Name | Kathryn Mcadam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508525296 PECOS PAC ID: 1153708250 Enrollment ID: I20220511000551 |
| Provider Name | Rachael A Hume-reichardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922662113 PECOS PAC ID: 5799165528 Enrollment ID: I20220711000692 |
| Provider Name | Jennifer Singleton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720321805 PECOS PAC ID: 7618262460 Enrollment ID: I20220715001197 |
| Provider Name | Joel Griffith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518615145 PECOS PAC ID: 8628450533 Enrollment ID: I20220809000238 |
| Provider Name | Jennifer Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447866330 PECOS PAC ID: 1759764533 Enrollment ID: I20220811000159 |
| Provider Name | Thomas Freeman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063947406 PECOS PAC ID: 5294194015 Enrollment ID: I20230711002135 |
| Provider Name | Elizabeth Lynnelle Godfrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063041465 PECOS PAC ID: 5294195764 Enrollment ID: I20230714003233 |
Life's Work Clinic, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 103 W 3rd St Unit E, Kalkaska, MI 49646 Phone: 231-620-7977 Fax: 231-715-3222 | |
Kalkaska Memorial Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7500 Fax: 231-258-7527 | |
Begin Again Counseling, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2469 Beebe Rd, Kalkaska, MI 49646 Phone: 231-676-7913 |