| Cadillac Family Physicians, P.c. | |
|
8950 Professional Dr Cadillac MI 49601-8599 | |
| (231) 775-2493 | |
| (231) 775-2570 |
| Full Name | Cadillac Family Physicians, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8950 Professional Dr, Cadillac, Michigan |
| Authorized Official Name and Position | Alan Jerome Conrad (OWNER) |
| Authorized Official Contact | 2317752493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cadillac Family Physicians, P.c. 8950 Professional Dr Cadillac MI 49601-8599 Ph: (231) 775-2493 | Cadillac Family Physicians, P.c. 8950 Professional Dr Cadillac MI 49601-8599 Ph: (231) 775-2493 |
| NPI Number | 1336299668 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 10/12/2010 |
| Medicare PECOS PAC ID | 2264405612 |
|---|---|
| Medicare Enrollment ID | O20040816000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336299668 | NPI | - | NPPES |
| 080H310370 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Dominic J Kiomento |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871573667 PECOS PAC ID: 6507851029 Enrollment ID: I20051117000909 |
| Provider Name | Alan J Conrad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447258116 PECOS PAC ID: 4981677341 Enrollment ID: I20100315000478 |
| Provider Name | Tania M Lebaron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316945017 PECOS PAC ID: 4880721133 Enrollment ID: I20100419000781 |
| Provider Name | Anne Broad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225564248 PECOS PAC ID: 8022343532 Enrollment ID: I20190703002914 |
| Provider Name | Kayla Marie Stefanko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699201707 PECOS PAC ID: 1759708894 Enrollment ID: I20200903001005 |
| Provider Name | Amy R Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750974499 PECOS PAC ID: 1557751344 Enrollment ID: I20211210000144 |
Great Lakes Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Cobb St, Cadillac, MI 49601 Phone: 231-775-6521 Fax: 231-876-6519 | |
Wexford Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Cobb St, Cadillac, MI 49601 Phone: 231-775-6521 Fax: 231-876-6519 | |
Stehouwer Free Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N Mitchell St, L-1, Cadillac, MI 49601 Phone: 231-876-6152 Fax: 231-779-9829 | |
Family Practice Of Cadillac Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 827 E Division St, Cadillac, MI 49601 Phone: 231-775-9741 | |
Great Lakes Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Cobb St, Cadillac, MI 49601 Phone: 231-876-6521 Fax: 231-876-6519 | |
Cadillac Primary Care & Obgyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7985 Mackinaw Trl, Cadillac, MI 49601 Phone: 231-876-6200 |