| Brookside Family Medicine A Center For Health And Well-being Plc | |
|
647 E Eighth St Traverse City MI 49686-2630 | |
| (231) 922-0400 | |
| (855) 586-8399 |
| Full Name | Brookside Family Medicine A Center For Health And Well-being Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 647 E Eighth St, Traverse City, Michigan |
| Authorized Official Name and Position | Debra Kay Graetz (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2319220400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookside Family Medicine A Center For Health And Well-being Plc 647 E Eighth St Traverse City MI 49686-2630 Ph: (231) 922-0400 | Brookside Family Medicine A Center For Health And Well-being Plc 647 E Eighth St Traverse City MI 49686-2630 Ph: (231) 922-0400 |
| NPI Number | 1699957571 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 02/15/2024 |
| Medicare PECOS PAC ID | 1658326558 |
|---|---|
| Medicare Enrollment ID | O20050314000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699957571 | NPI | - | NPPES |
| 4102107 | Medicaid | MI | |
| 0280363 | Other | MI | BLUE CARE NETWORK |
| 0B810140 | Other | MI | BCBS OF MI GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301068214 (Michigan) | Primary |
| Provider Name | Debra K Graetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104963115 PECOS PAC ID: 5395836571 Enrollment ID: I20070801000733 |
| Provider Name | Jennifer M Lyon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528283199 PECOS PAC ID: 9234213653 Enrollment ID: I20080225000349 |
| Provider Name | Molly A Craven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528273026 PECOS PAC ID: 3971651597 Enrollment ID: I20090507000608 |
| Provider Name | Kathryn F Krezoski Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194136721 PECOS PAC ID: 5597043448 Enrollment ID: I20161027000023 |
Munson Walk In Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3074 N Us 31 S, Traverse City, MI 49684 Phone: 231-929-1234 Fax: 231-935-0984 | |
County Health Support Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Washington St, Traverse City, MI 49684 Phone: 231-922-4532 | |
Northwest Michigan Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1776 3 Mile Rd N Rm 522, Traverse City, MI 49696 Phone: 231-642-9295 | |
Best Medical Services Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 814 S Garfield Ave Ste C, Traverse City, MI 49686 Phone: 231-922-8722 Fax: 231-486-6042 | |
Endocrinology And Metabolism Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1221 Sixth St Ste 208, Traverse City, MI 49684 Phone: 231-935-2045 Fax: 231-935-2046 | |
Partners In Health Of Traverse City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3074 N Us 31 S, Traverse City, MI 49684 Phone: 231-935-0535 Fax: 231-935-0454 | |
Indigo Hospital Medicine - Traverse City, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-346-6807 Fax: 231-346-6052 |