| Country Creek Family Physicians | |
|
4986 Adams Rd Ste A Rochester MI 48306-1416 | |
| (248) 475-4301 | |
| (248) 475-4305 |
| Full Name | Country Creek Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 4986 Adams Rd, Rochester, Michigan |
| Authorized Official Name and Position | Al Juocys (PHYSICIAN) |
| Authorized Official Contact | 2484754301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Country Creek Family Physicians 4986 Adams Rd Ste A Rochester MI 48306-1416 Ph: (248) 475-4301 | Country Creek Family Physicians 4986 Adams Rd Ste A Rochester MI 48306-1416 Ph: (248) 475-4301 |
| NPI Number | 1104889773 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 03/11/2010 |
| Medicare PECOS PAC ID | 3870528771 |
|---|---|
| Medicare Enrollment ID | O20050929000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104889773 | NPI | - | NPPES |
| 0F32698 | Other | BCBS |
| Provider Name | Shailaja Rastogi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558439737 PECOS PAC ID: 8921998154 Enrollment ID: I20040319000288 |
| Provider Name | Marcy Binford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629479498 PECOS PAC ID: 9638399876 Enrollment ID: I20141009002235 |
| Provider Name | Rochelle Lenetta Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184083974 PECOS PAC ID: 9638459761 Enrollment ID: I20161207002326 |
| Provider Name | Daniel Meram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215354493 PECOS PAC ID: 5597085787 Enrollment ID: I20171013002879 |
| Provider Name | Jasper Gill |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700205846 PECOS PAC ID: 4082987318 Enrollment ID: I20180810001686 |
| Provider Name | Michael D Bain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528551488 PECOS PAC ID: 8123374113 Enrollment ID: I20210708000520 |
| Provider Name | Melanie Odeleye |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1184988255 PECOS PAC ID: 0244474633 Enrollment ID: I20231002002678 |
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