| Bellin Health Menominee | |
|
1100 10th St Menominee MI 49858-3062 | |
| (906) 863-7897 | |
| (906) 863-5762 |
| Full Name | Bellin Health Menominee |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 10th St, Menominee, Michigan |
| Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9204457226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellin Health Menominee Po Box 1866 Green Bay WI 54305-1866 Ph: (920) 445-7222 | Bellin Health Menominee 1100 10th St Menominee MI 49858-3062 Ph: (906) 863-7897 |
| NPI Number | 1356799969 |
|---|---|
| Provider Enumeration Date | 05/25/2016 |
| Last Update Date | 04/06/2022 |
| Medicare PECOS PAC ID | 2163461781 |
|---|---|
| Medicare Enrollment ID | O20161123001560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356799969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Mary Lee Tobin-anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457578049 PECOS PAC ID: 6800987215 Enrollment ID: I20070814000186 |
| Provider Name | Lynda J Bahde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104897412 PECOS PAC ID: 8729008362 Enrollment ID: I20071026000723 |
| Provider Name | Karen Lea Eldevick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962493718 PECOS PAC ID: 5890820369 Enrollment ID: I20100323000426 |
| Provider Name | Tangerine R Dupuis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447244470 PECOS PAC ID: 1557494507 Enrollment ID: I20100728000713 |
| Provider Name | Jaime A Santi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043508203 PECOS PAC ID: 4486826187 Enrollment ID: I20110930000132 |
| Provider Name | Pawneet P Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174779243 PECOS PAC ID: 8820251382 Enrollment ID: I20120725000678 |
| Provider Name | Christopher J O'connor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922480573 PECOS PAC ID: 1951615350 Enrollment ID: I20150729008939 |
| Provider Name | Shanon David Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710347901 PECOS PAC ID: 6204132517 Enrollment ID: I20160314000838 |
| Provider Name | Daniel Brian Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023477056 PECOS PAC ID: 9638477482 Enrollment ID: I20160412002459 |
| Provider Name | Jessica Marie Flaeschel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225407661 PECOS PAC ID: 3870893969 Enrollment ID: I20160518001946 |
| Provider Name | Melissa Lee Gauthier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578588745 PECOS PAC ID: 9537453717 Enrollment ID: I20160810002726 |
| Provider Name | Andrew M Casanova |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326596818 PECOS PAC ID: 2668752841 Enrollment ID: I20161205001418 |
| Provider Name | Martha L Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740265297 PECOS PAC ID: 0244256030 Enrollment ID: I20171219002490 |
| Provider Name | Barbara A Pesola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023125416 PECOS PAC ID: 0547290975 Enrollment ID: I20180607000826 |
| Provider Name | Olena V Wiedemeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710402714 PECOS PAC ID: 4082971122 Enrollment ID: I20180613000519 |
| Provider Name | Brian D Kass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083110076 PECOS PAC ID: 3274884259 Enrollment ID: I20181002003862 |
| Provider Name | Mary R Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114481942 PECOS PAC ID: 5395084933 Enrollment ID: I20190226003435 |
| Provider Name | Alicia Katherine Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215593660 PECOS PAC ID: 2567797590 Enrollment ID: I20190715000449 |
| Provider Name | Taylor A Londo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639543150 PECOS PAC ID: 1153659693 Enrollment ID: I20190916003224 |
| Provider Name | Kelly Ann Florenski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194225771 PECOS PAC ID: 8921430984 Enrollment ID: I20191112002696 |
| Provider Name | Mark A Welnick |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255698221 PECOS PAC ID: 2769771138 Enrollment ID: I20201105000666 |
| Provider Name | Julia Constance Berglund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497332571 PECOS PAC ID: 9739598848 Enrollment ID: I20210430001708 |
| Provider Name | Carlie A Dell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780291401 PECOS PAC ID: 3779994371 Enrollment ID: I20210722000264 |
| Provider Name | Mary Kay Gavlek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962904763 PECOS PAC ID: 5597169334 Enrollment ID: I20210802001957 |
| Provider Name | Abby J Hodge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528568151 PECOS PAC ID: 4486058260 Enrollment ID: I20210802003550 |
| Provider Name | Carol L Orwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942297387 PECOS PAC ID: 8224185582 Enrollment ID: I20220420000761 |
| Provider Name | Trisha Marie Boldt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316474893 PECOS PAC ID: 8022388537 Enrollment ID: I20220808002348 |
| Provider Name | Derek Robert Verbrigghe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619604725 PECOS PAC ID: 0345623039 Enrollment ID: I20220812001165 |
| Provider Name | Nikisha Blue Waters Zanon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710517883 PECOS PAC ID: 8325486939 Enrollment ID: I20240402001871 |
| Provider Name | David Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447235148 PECOS PAC ID: 1052756053 Enrollment ID: I20240610002617 |
Menominee Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 10th St, Menominee, MI 49858 Phone: 906-863-7897 | |
Ireland Family Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 534 1st St, Menominee, MI 49858 Phone: 906-863-4482 | |
Bellin Health Menominee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 10th St, Menominee, MI 49858 Phone: 906-863-7897 Fax: 906-863-5762 | |
Menominee Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 10th St, Menominee, MI 49858 Phone: 920-445-7226 | |
Menominee Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 10th Ave, Menominee, MI 49858 Phone: 906-290-5000 Fax: 906-863-2408 | |
Mack Occupational Health Services Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N528 Fairland Island, Menominee, MI 49858 Phone: 906-424-4089 |