| Bcmh Physician Group | |
|
18341 Us Highway 41 Lanse MI 49946-8024 | |
| (906) 524-6118 | |
| (906) 524-6218 |
| Full Name | Bcmh Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 18341 Us Highway 41, Lanse, Michigan |
| Authorized Official Name and Position | Margie Hale (CEO) |
| Authorized Official Contact | 9065243320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bcmh Physician Group 18341 Us Highway 41 Lanse MI 49946-8024 Ph: (906) 524-6118 | Bcmh Physician Group 18341 Us Highway 41 Lanse MI 49946-8024 Ph: (906) 524-6118 |
| NPI Number | 1851409643 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 04/05/2017 |
| Medicare PECOS PAC ID | 7416866611 |
|---|---|
| Medicare Enrollment ID | O20040826000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851409643 | NPI | - | NPPES |
| 0Z71004 | Other | MI | BCBS OF MI GROUP |
| 1841555430 | Other | MI | MEDICAID RHC NUMBER |
| 268646 | Other | MI | RHC MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Michigan) | Primary |
| Provider Name | Scott Michael Hagle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497738090 PECOS PAC ID: 5294648846 Enrollment ID: I20031110000399 |
| Provider Name | John L Loomis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518014018 PECOS PAC ID: 0840199550 Enrollment ID: I20031231000733 |
| Provider Name | Carl A Smoot |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861457889 PECOS PAC ID: 1153219118 Enrollment ID: I20040310000417 |
| Provider Name | Jonathan Neufeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881634962 PECOS PAC ID: 4486641248 Enrollment ID: I20040426001330 |
| Provider Name | Donald G Patton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639277429 PECOS PAC ID: 6204827025 Enrollment ID: I20040520000963 |
| Provider Name | Scott R Pynnonen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770691503 PECOS PAC ID: 8820063985 Enrollment ID: I20040901000074 |
| Provider Name | Todd V Ingram |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245349414 PECOS PAC ID: 5597730655 Enrollment ID: I20040901000136 |
| Provider Name | Jeffrey M Shipkey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659354256 PECOS PAC ID: 4385611276 Enrollment ID: I20040910000987 |
| Provider Name | Ronald P Dalton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407851413 PECOS PAC ID: 4486606043 Enrollment ID: I20050211000625 |
| Provider Name | Peter V Vaitkevicius |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477590461 PECOS PAC ID: 1850338955 Enrollment ID: I20050411000726 |
| Provider Name | Shahar Madjar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740208701 PECOS PAC ID: 9739155722 Enrollment ID: I20050412001278 |
| Provider Name | Matthew Alan Bowes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275589210 PECOS PAC ID: 9739127655 Enrollment ID: I20050421000367 |
| Provider Name | William Michael Short |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720079569 PECOS PAC ID: 1153349394 Enrollment ID: I20051107000625 |
| Provider Name | Lawrence W Schenden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609853605 PECOS PAC ID: 3779540869 Enrollment ID: I20051108000590 |
| Provider Name | Craig A T Vickstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265541486 PECOS PAC ID: 0042101727 Enrollment ID: I20051205000721 |
| Provider Name | Rashid F Alsabeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093788150 PECOS PAC ID: 9032122338 Enrollment ID: I20060802000354 |
| Provider Name | Jan Prokosch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639105372 PECOS PAC ID: 7113923251 Enrollment ID: I20061012000097 |
| Provider Name | Andrew Christian Stevens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508078098 PECOS PAC ID: 1850482852 Enrollment ID: I20070806000482 |
| Provider Name | David C Grant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639261035 PECOS PAC ID: 2163323908 Enrollment ID: I20070910000212 |
| Provider Name | Don Custodio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316152598 PECOS PAC ID: 2062585359 Enrollment ID: I20080719000107 |
| Provider Name | John D Weiss |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801963152 PECOS PAC ID: 0345256103 Enrollment ID: I20081213000033 |
| Provider Name | George A Krzymowski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417905258 PECOS PAC ID: 1557423241 Enrollment ID: I20081213000252 |
| Provider Name | Dawn Alyssa Nulf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477566636 PECOS PAC ID: 0143363192 Enrollment ID: I20100130000108 |
| Provider Name | Ann M Knapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457377483 PECOS PAC ID: 6204967201 Enrollment ID: I20100707000458 |
| Provider Name | Patrick P Bulinski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003813668 PECOS PAC ID: 1355445511 Enrollment ID: I20101015001130 |
| Provider Name | Steven J Terrian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932125838 PECOS PAC ID: 2062506678 Enrollment ID: I20110215001084 |
| Provider Name | Bruce E Harvey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821151234 PECOS PAC ID: 3577530633 Enrollment ID: I20120410000626 |
| Provider Name | Mark D Cecilio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487889903 PECOS PAC ID: 1759544877 Enrollment ID: I20120529000366 |
| Provider Name | Michael T Jacobson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902016504 PECOS PAC ID: 8527024363 Enrollment ID: I20130110000640 |
| Provider Name | Christopher R Faber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417243973 PECOS PAC ID: 7113169251 Enrollment ID: I20130820000270 |
| Provider Name | Shawn Elizabeth-bott Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184911703 PECOS PAC ID: 4385871581 Enrollment ID: I20140131001979 |
| Provider Name | Sharon A Atwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922422641 PECOS PAC ID: 1254563844 Enrollment ID: I20140414001450 |
| Provider Name | Donald E Conklin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285613323 PECOS PAC ID: 9032133657 Enrollment ID: I20140528001526 |
| Provider Name | Jeffrey A Kreyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689801102 PECOS PAC ID: 2567687056 Enrollment ID: I20140625000454 |
| Provider Name | Frederick Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932462660 PECOS PAC ID: 9739317926 Enrollment ID: I20160218002454 |
| Provider Name | Peter Byers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477796936 PECOS PAC ID: 0547417651 Enrollment ID: I20160715000353 |
| Provider Name | Viktoria L Koskenoja |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205102852 PECOS PAC ID: 6305091984 Enrollment ID: I20160802000605 |
| Provider Name | Thomas R Eckler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841556842 PECOS PAC ID: 0749591519 Enrollment ID: I20160805000261 |
| Provider Name | Stephen Sherick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528260866 PECOS PAC ID: 7719037605 Enrollment ID: I20160815002477 |
| Provider Name | Jamie S Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861577355 PECOS PAC ID: 3779721899 Enrollment ID: I20160919000195 |
| Provider Name | Leanna K Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356898415 PECOS PAC ID: 3971881145 Enrollment ID: I20161024001693 |
| Provider Name | Laura P Edgerley-gibb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205024361 PECOS PAC ID: 6608069216 Enrollment ID: I20170119001725 |
| Provider Name | Kevin W Brinker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417018201 PECOS PAC ID: 1153422985 Enrollment ID: I20170124001624 |
| Provider Name | Eric M Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750694964 PECOS PAC ID: 6305062720 Enrollment ID: I20170515001351 |
| Provider Name | Jeremy Stayton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093146763 PECOS PAC ID: 4587934989 Enrollment ID: I20170718001570 |
| Provider Name | John Michael |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326481268 PECOS PAC ID: 4981838638 Enrollment ID: I20170808000377 |
| Provider Name | Eric Michael Ball |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356634943 PECOS PAC ID: 2062731524 Enrollment ID: I20180619002310 |
| Provider Name | Frederick T Warner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164462420 PECOS PAC ID: 1658360771 Enrollment ID: I20180810000692 |
| Provider Name | Valerie Ann Lecomte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699016204 PECOS PAC ID: 8820386402 Enrollment ID: I20190411000042 |
| Provider Name | Kevin Michael Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952961567 PECOS PAC ID: 6002148772 Enrollment ID: I20191029003560 |
| Provider Name | Jeffrey S Dauphinais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144722265 PECOS PAC ID: 6002161106 Enrollment ID: I20191031001907 |
| Provider Name | Jeffrey Sweers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982139929 PECOS PAC ID: 7214364777 Enrollment ID: I20200221000923 |
| Provider Name | Abigail Prentice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699270280 PECOS PAC ID: 2860741196 Enrollment ID: I20210825001706 |
| Provider Name | Lee Andrew Replogle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750739371 PECOS PAC ID: 1658614243 Enrollment ID: I20211214001630 |
| Provider Name | Stephen Kotch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821042201 PECOS PAC ID: 5799853339 Enrollment ID: I20220317001368 |
| Provider Name | Jeffrey R Dorhauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457856049 PECOS PAC ID: 1951659952 Enrollment ID: I20221019001836 |
| Provider Name | Frank Skobel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700220357 PECOS PAC ID: 8628356623 Enrollment ID: I20230315000891 |
| Provider Name | Allyssa C Sweers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619689908 PECOS PAC ID: 3375907496 Enrollment ID: I20230907003579 |
| Provider Name | Evan Loukusa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427678978 PECOS PAC ID: 1850715517 Enrollment ID: I20230911001335 |
| Provider Name | Zachary T Meyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831659903 PECOS PAC ID: 0345577888 Enrollment ID: I20230928001074 |
Ronald P D'agostino Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W Eastern Ave, Lanse, MI 49946 Phone: 906-524-6366 Fax: 906-524-6014 | |
Bcmh Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18341 Us Highway 41, Lanse, MI 49946 Phone: 906-524-6118 Fax: 906-524-5126 | |
Karl E Hill Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W Eastern Ave, Lanse, MI 49946 Phone: 906-524-6366 Fax: 906-524-6014 | |
Western U.p. District Health Department & Superior Home Nursing & Hosp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Baraga Ave, Lanse, MI 49946 Phone: 906-542-6142 Fax: 906-524-6144 |