| Rem Nation Pllc | |
|
611 Court St Suite 101a West Branch MI 48661-8820 | |
| (855) 276-2111 | |
| Not Available |
| Full Name | Rem Nation Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 611 Court St, West Branch, Michigan |
| Authorized Official Name and Position | Theodore Bash (PRESIDENT) |
| Authorized Official Contact | 8552762111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rem Nation Pllc 611 Court St Ste 101a West Branch MI 48661-8820 Ph: (855) 276-2111 | Rem Nation Pllc 611 Court St Suite 101a West Branch MI 48661-8820 Ph: (855) 276-2111 |
| NPI Number | 1972962470 |
|---|---|
| Provider Enumeration Date | 02/12/2016 |
| Last Update Date | 04/11/2016 |
| Medicare PECOS PAC ID | 6002105525 |
|---|---|
| Medicare Enrollment ID | O20160523000948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972962470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 4301073336 (Michigan) | Primary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | (* (Not Available)) | Secondary |
| Provider Name | Kevin R Kellogg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457380941 PECOS PAC ID: 8628088002 Enrollment ID: I20060501000179 |
| Provider Name | Sanjay Dogra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932114634 PECOS PAC ID: 0648340992 Enrollment ID: I20080529000654 |
| Provider Name | Jacob L Gordon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114029550 PECOS PAC ID: 5799851648 Enrollment ID: I20080829000382 |
| Provider Name | Veronica K Sesi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801007620 PECOS PAC ID: 5193911899 Enrollment ID: I20101119000953 |
| Provider Name | Lauren E Taboh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093083743 PECOS PAC ID: 5799948733 Enrollment ID: I20120531000427 |
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