| Allegan Professional Health Services Inc | |
|
551 Linn St Suite 150 Allegan MI 49010 | |
| (269) 686-5800 | |
| (269) 686-5899 |
| Full Name | Allegan Professional Health Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 551 Linn St, Allegan, Michigan |
| Authorized Official Name and Position | Rebecca Hassing (BUSINESS OFFICE SUPERVISOR) |
| Authorized Official Contact | 2696865802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegan Professional Health Services Inc 551 Linn St Suite 150 Allegan MI 49010-1595 Ph: (269) 686-5800 | Allegan Professional Health Services Inc 551 Linn St Suite 150 Allegan MI 49010 Ph: (269) 686-5800 |
| NPI Number | 1134281223 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 07/31/2018 |
| Medicare PECOS PAC ID | 8325048622 |
|---|---|
| Medicare Enrollment ID | O20070111000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134281223 | NPI | - | NPPES |
| DF3887 | Other | RAILROAD MEDICARE | |
| 700Z310580 | Other | MI | BLUE CROSS BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Heather L Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396755872 PECOS PAC ID: 6800780008 Enrollment ID: I20040210000147 |
| Provider Name | Linda Sue Wadsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861441115 PECOS PAC ID: 6800857038 Enrollment ID: I20041021000488 |
| Provider Name | Gordon L Roberts |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437174273 PECOS PAC ID: 6103882071 Enrollment ID: I20041203000036 |
| Provider Name | Patricia A Seiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366434177 PECOS PAC ID: 1759305824 Enrollment ID: I20060117000784 |
| Provider Name | Timothy K Dickinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316928161 PECOS PAC ID: 2860384393 Enrollment ID: I20060905000452 |
| Provider Name | Kenneth P Forsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255312047 PECOS PAC ID: 7719879246 Enrollment ID: I20070111000539 |
| Provider Name | John F Walstrum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679564975 PECOS PAC ID: 6608768130 Enrollment ID: I20070116000155 |
| Provider Name | Louis T Praamsma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720081458 PECOS PAC ID: 1153412184 Enrollment ID: I20070806000730 |
| Provider Name | Karen H Krusinga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629260252 PECOS PAC ID: 7416041363 Enrollment ID: I20070921000822 |
| Provider Name | Nestor B Halicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609064070 PECOS PAC ID: 5092899062 Enrollment ID: I20080228000755 |
| Provider Name | Eriberto Carrion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780682237 PECOS PAC ID: 8628156205 Enrollment ID: I20080423000143 |
| Provider Name | Madiha Farhat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427251701 PECOS PAC ID: 9638238082 Enrollment ID: I20081030000422 |
| Provider Name | John Roosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508946021 PECOS PAC ID: 5496948523 Enrollment ID: I20101021001082 |
| Provider Name | Jennifer L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518268135 PECOS PAC ID: 9638351521 Enrollment ID: I20110314001069 |
| Provider Name | Jennifer A Dentler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073830428 PECOS PAC ID: 7113100462 Enrollment ID: I20110323000597 |
| Provider Name | Brenda Laninga Schloff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295733061 PECOS PAC ID: 7911164827 Enrollment ID: I20120204000053 |
| Provider Name | Rachel A Vandenbrink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790096295 PECOS PAC ID: 2365677846 Enrollment ID: I20131109000608 |
| Provider Name | Tracy Anne Vanden Bosch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528450525 PECOS PAC ID: 2668775255 Enrollment ID: I20160114000655 |
| Provider Name | Gwen Kurtz Stenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538528104 PECOS PAC ID: 3678869708 Enrollment ID: I20160915001382 |
| Provider Name | Renee Elizabeth Lacoss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295287852 PECOS PAC ID: 0941580658 Enrollment ID: I20161214001474 |
| Provider Name | Lindsey Betout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447789847 PECOS PAC ID: 5496024937 Enrollment ID: I20170627001153 |
| Provider Name | Nathan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033420419 PECOS PAC ID: 1153631783 Enrollment ID: I20170814000429 |
| Provider Name | Jamie Jeannette Thorpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740797513 PECOS PAC ID: 5395009955 Enrollment ID: I20180507001583 |
Ascension Borgess Allegan Hospital Outpatient Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Linn St, Allegan, MI 49010 Phone: 269-673-8424 | |
Allegan Medical Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 551 Linn St, Allegan, MI 49010 Phone: 269-686-5800 Fax: 269-686-5896 | |
Allegan Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 551 Linn St, Allegan, MI 49010 Phone: 269-686-5800 Fax: 269-686-5899 | |
Optimum Health Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Thomas St, Suite B, Allegan, MI 49010 Phone: 269-673-2179 | |
Downtown Allegan Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Chestnut St, Allegan, MI 49010 Phone: 269-686-0600 | |
West Michigan Visiting Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Thomas St, Allegan, MI 49010 Phone: 269-673-2179 Fax: 269-673-6992 |