| Careline Physician Services | |
|
3550 Briarfield Blvd Ste 300 Maumee OH 43537-9184 | |
| (517) 212-9000 | |
| Not Available |
| Full Name | Careline Physician Services |
|---|---|
| Speciality | Family Medicine |
| Location | 3550 Briarfield Blvd Ste 300, Maumee, Ohio |
| Authorized Official Name and Position | Joseph Donald Mead (OWNER) |
| Authorized Official Contact | 5178884000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careline Physician Services 801 Rosehill Rd Jackson MI 49202-1762 Ph: (517) 212-2008 | Careline Physician Services 3550 Briarfield Blvd Ste 300 Maumee OH 43537-9184 Ph: (517) 212-9000 |
| NPI Number | 1306414826 |
|---|---|
| Provider Enumeration Date | 06/11/2021 |
| Last Update Date | 01/04/2024 |
| Medicare PECOS PAC ID | 7012395965 |
|---|---|
| Medicare Enrollment ID | O20220604000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306414826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Kelly A Shank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922084425 PECOS PAC ID: 3476591355 Enrollment ID: I20050421000254 |
| Provider Name | Melanie Caroline Schell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922148147 PECOS PAC ID: 7113935842 Enrollment ID: I20060322000433 |
| Provider Name | Scott M Galenski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376956292 PECOS PAC ID: 5496974693 Enrollment ID: I20140922000751 |
| Provider Name | Jennifer Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134536840 PECOS PAC ID: 0446472377 Enrollment ID: I20141110001581 |
| Provider Name | James Derosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104033562 PECOS PAC ID: 8921386657 Enrollment ID: I20161031001233 |
| Provider Name | Brittney Goldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457997637 PECOS PAC ID: 0446685515 Enrollment ID: I20200415000211 |
| Provider Name | Jeffrey S Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548855901 PECOS PAC ID: 0840696969 Enrollment ID: I20210914003802 |
| Provider Name | Nicholas Maximillian Kielhorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821240128 PECOS PAC ID: 0244425403 Enrollment ID: I20220604000362 |
| Provider Name | Dena M Holzemer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396017448 PECOS PAC ID: 6103209010 Enrollment ID: I20220810000912 |
| Provider Name | Alicia Komives |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174262539 PECOS PAC ID: 7113301268 Enrollment ID: I20220908002385 |
| Provider Name | Jeremy R Herr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164731535 PECOS PAC ID: 2163602863 Enrollment ID: I20240328002009 |
| Provider Name | Ellen Kaehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336433432 PECOS PAC ID: 9537309588 Enrollment ID: I20240529000152 |
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