| |
101 Jenson St Gaylord MI 49735-1593 | |
(989) 732-4422 | |
(989) 732-4402 |
Full Name | |
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Speciality | Family Medicine |
Location | 101 Jenson St, Gaylord, Michigan |
Authorized Official Name and Position | Richard D. Ashley (OFFICE MANAGER) |
Authorized Official Contact | 9897324422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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101 Jenson St Gaylord MI 49735-1593 Ph: (989) 732-4422 | 101 Jenson St Gaylord MI 49735-1593 Ph: (989) 732-4422 |
NPI Number | 1730213216 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 10/22/2020 |
Medicare PECOS PAC ID | 1052418191 |
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Medicare Enrollment ID | O20070524000044 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730213216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Becky L Ashley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427080381 PECOS PAC ID: 8628962156 Enrollment ID: I20040213000317 |
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