| Mclaren Bay Region | |
|
690 S Trumbull St Bay City MI 48708 | |
| (989) 922-4900 | |
| Not Available |
| Full Name | Mclaren Bay Region |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 690 S Trumbull St, Bay City, Michigan |
| Authorized Official Name and Position | Danielle C Jacks Porter (CFO) |
| Authorized Official Contact | 9898943838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mclaren Bay Region 690 S Trumbull St Bay City MI 48708-7692 Ph: (989) 922-4900 | Mclaren Bay Region 690 S Trumbull St Bay City MI 48708 Ph: (989) 922-4900 |
| NPI Number | 1942560339 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 08/08/2018 |
| Medicare PECOS PAC ID | 5597659011 |
|---|---|
| Medicare Enrollment ID | O20040416000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942560339 | NPI | - | NPPES |
| Provider Name | Anne Tadeo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083773717 PECOS PAC ID: 4880635564 Enrollment ID: I20080114000128 |
| Provider Name | Mukesh Lathia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700820693 PECOS PAC ID: 1153393533 Enrollment ID: I20080428000496 |
| Provider Name | Adam D Nicholas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033309950 PECOS PAC ID: 4688852213 Enrollment ID: I20110629000390 |
| Provider Name | Molly Gabriel-champine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235507914 PECOS PAC ID: 0143591404 Enrollment ID: I20170803003757 |
| Provider Name | Ryan L Cox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275983298 PECOS PAC ID: 6507150075 Enrollment ID: I20200702002176 |
| Provider Name | Spencer J Thornock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912499757 PECOS PAC ID: 5294081410 Enrollment ID: I20220622002589 |
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