| Charis Kai Eleos Llc | |
|
2487 S Michigan Rd Ste E Eaton Rapids MI 48827-8252 | |
| (517) 836-2178 | |
| (517) 836-2182 |
| Full Name | Charis Kai Eleos Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2487 S Michigan Rd Ste E, Eaton Rapids, Michigan |
| Authorized Official Name and Position | Pamela J Becker (OWNER) |
| Authorized Official Contact | 5178362178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charis Kai Eleos Llc 2487 S Michigan Rd Ste E Eaton Rapids MI 48827-8252 Ph: (517) 836-2178 | Charis Kai Eleos Llc 2487 S Michigan Rd Ste E Eaton Rapids MI 48827-8252 Ph: (517) 836-2178 |
| NPI Number | 1578344933 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 11/14/2023 |
| Medicare PECOS PAC ID | 7810347762 |
|---|---|
| Medicare Enrollment ID | O20231219001928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578344933 | NPI | - | NPPES |
| Provider Name | Ivan D Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760757561 PECOS PAC ID: 4880916089 Enrollment ID: I20141125000419 |
| Provider Name | Pamela Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255714531 PECOS PAC ID: 6204143332 Enrollment ID: I20150922001132 |
| Provider Name | Julie Ann Teceno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154027910 PECOS PAC ID: 7719337666 Enrollment ID: I20240119002862 |
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