| East Bay Medical Center, P.c. | |
|
1401 Short Dr Prudenville MI 48651-8436 | |
| (989) 366-1515 | |
| (989) 366-1501 |
| Full Name | East Bay Medical Center, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1401 Short Dr, Prudenville, Michigan |
| Authorized Official Name and Position | Suzanne Alaine Blanchard (OWNER) |
| Authorized Official Contact | 9893661515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Medical Center, P.c. Po Box 19 1401 Short Drive Prudenville MI 48651-8436 Ph: (989) 366-1515 | East Bay Medical Center, P.c. 1401 Short Dr Prudenville MI 48651-8436 Ph: (989) 366-1515 |
| NPI Number | 1851599054 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 06/12/2013 |
| Medicare PECOS PAC ID | 1557250420 |
|---|---|
| Medicare Enrollment ID | O20040311000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851599054 | NPI | - | NPPES |
| 4577440 | Medicaid | MI | |
| 5008702190 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4704203066 (Michigan) | Primary |
| Provider Name | Suzanne A Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023015104 PECOS PAC ID: 8426947300 Enrollment ID: I20040312000096 |
Mercy Grayling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2585 W Houghton Lake Drive, Prudenville, MI 48651 Phone: 989-366-2900 Fax: 989-366-1166 | |
Prudenville Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2585 W Houghton Lake Dr, Prudenville, MI 48651 Phone: 989-366-2900 | |
Mercy Physician Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2585 W Houghton Lake Dr, Prudenville, MI 48651 Phone: 989-366-2900 Fax: 989-366-1166 | |
Mclaren Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N. Grand Ave, Prudenville, MI 48651 Phone: 989-366-1000 Fax: 989-366-1002 | |
General And Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1064 W West Branch Rd, Prudenville, MI 48651 Phone: 989-366-4800 | |
Rise Center For Autism Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1840 W Houghton Lake Dr Unit 2, Prudenville, MI 48651 Phone: 989-965-3274 | |
Mclaren Bay Region Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Grand Ave, Prudenville, MI 48651 Phone: 989-366-1000 Fax: 989-366-1002 |