| Clarence Richard Barnett Md Plc | |
|
1020 4th Ave Lake Odessa MI 48849-1004 | |
| (616) 374-8881 | |
| (616) 374-4220 |
| Full Name | Clarence Richard Barnett Md Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 1020 4th Ave, Lake Odessa, Michigan |
| Authorized Official Name and Position | Clarence Richard Barnett (OWNER) |
| Authorized Official Contact | 6163748881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarence Richard Barnett Md Plc 1020 4th Ave Lake Odessa MI 48849-1004 Ph: (616) 374-8881 | Clarence Richard Barnett Md Plc 1020 4th Ave Lake Odessa MI 48849-1004 Ph: (616) 374-8881 |
| NPI Number | 1447380324 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3173532991 |
|---|---|
| Medicare Enrollment ID | O20060406000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447380324 | NPI | - | NPPES |
| 135 | Other | MI | PRIORITY HEALTH |
| 200000001213 | Other | MA | PHYSICIANS HEALTH PLAN |
| 0340028 | Other | MI | BCBS |
| 4847930 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | CB047150 (Michigan) | Primary |
| Provider Name | Clarence R Barnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558320846 PECOS PAC ID: 9436168259 Enrollment ID: I20060407000065 |
| Provider Name | Kathryn Christine Bellin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962028258 PECOS PAC ID: 7214346816 Enrollment ID: I20210512000636 |
Pennock Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4294 Laurel Dr, Lake Odessa, MI 48849 Phone: 616-374-7660 | |
Brian W Swanton Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4294 Laurel Dr, Lake Odessa, MI 48849 Phone: 616-374-7660 Fax: 616-374-0270 | |
Laurie S Braker Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4294 Laurel Dr, Lake Odessa, MI 48849 Phone: 616-374-7660 Fax: 616-374-0270 | |
Corewell Health Pennock Hospital Family Medicine - Lake Odessa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4294 Laurel Dr, Lake Odessa, MI 48849 Phone: 616-374-7660 Fax: 616-374-0270 |