| Beluga Health, Pc | |
|
186 N Main St Fl 2 Plymouth MI 48170-1236 | |
| (224) 484-0496 | |
| (888) 960-2494 |
| Full Name | Beluga Health, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 186 N Main St Fl 2, Plymouth, Michigan |
| Authorized Official Name and Position | Jonah Mink (CEO) |
| Authorized Official Contact | 2244840496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beluga Health, Pc 1321 Upland Dr Ste 18399 Houston TX 77043-4718 Ph: (224) 484-0496 | Beluga Health, Pc 186 N Main St Fl 2 Plymouth MI 48170-1236 Ph: (224) 484-0496 |
| NPI Number | 1710691472 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 02/08/2023 |
| Medicare PECOS PAC ID | 9638602519 |
|---|---|
| Medicare Enrollment ID | O20241030003481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710691472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Trissy Chun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295924140 PECOS PAC ID: 2769521715 Enrollment ID: I20230421000955 |
| Provider Name | Ryan Snyder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720371537 PECOS PAC ID: 2163646829 Enrollment ID: I20230428001705 |
| Provider Name | Hailey Sibbett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306226246 PECOS PAC ID: 7517260045 Enrollment ID: I20241030003809 |
| Provider Name | Sujin Lee |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1073829909 PECOS PAC ID: 2567708985 Enrollment ID: I20241113004377 |
| Provider Name | Manisha Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629410386 PECOS PAC ID: 3173819216 Enrollment ID: I20241113004460 |
| Provider Name | David Dahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114183555 PECOS PAC ID: 1153476569 Enrollment ID: I20241113004497 |
| Provider Name | Brandi Gary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346416369 PECOS PAC ID: 7810024932 Enrollment ID: I20241205001044 |
| Provider Name | Gina Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457713646 PECOS PAC ID: 5395031462 Enrollment ID: I20241205003895 |
| Provider Name | Hridayesh Nat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932305745 PECOS PAC ID: 8426126269 Enrollment ID: I20241206000984 |
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