Elk Rapids Medical Clinic, P.c. | |
516 Bridge St Post Office Box 119 Elk Rapids MI 49629-9701 | |
(231) 264-0700 | |
Not Available |
Full Name | Elk Rapids Medical Clinic, P.c. |
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Speciality | Family Medicine |
Location | 516 Bridge St, Elk Rapids, Michigan |
Authorized Official Name and Position | Ann K Kuenker (PRESIDENT/OWNER) |
Authorized Official Contact | 2312640700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elk Rapids Medical Clinic, P.c. 516 Bridge St Elk Rapids MI 49629-9701 Ph: (231) 264-0700 | Elk Rapids Medical Clinic, P.c. 516 Bridge St Post Office Box 119 Elk Rapids MI 49629-9701 Ph: (231) 264-0700 |
NPI Number | 1639351984 |
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Provider Enumeration Date | 11/28/2007 |
Last Update Date | 11/28/2007 |
Medicare PECOS PAC ID | 5496835886 |
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Medicare Enrollment ID | O20080110000637 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639351984 | NPI | - | NPPES |
0850500144 | Other | MI | BCBS PROVIDER NUMBER |
4165027 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | AK1664069 (Michigan) | Primary |
Provider Name | Ann Kathryn Kuenker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609870104 PECOS PAC ID: 8921909730 Enrollment ID: I20040115000568 |
Provider Name | Terri L Glenn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548398597 PECOS PAC ID: 9436399565 Enrollment ID: I20130712000206 |
Mclaren Medical Management Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Ames St, Elk Rapids, MI 49629 Phone: 231-264-8282 | |
Crystal Lake Clinic P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Ames St, Elk Rapids, MI 49629 Phone: 231-264-8282 Fax: 231-264-6655 | |
Elk Rapids Primary Care Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 Bridge Street, Elk Rapids, MI 49629 Phone: 231-264-0399 Fax: 231-264-0212 | |
Elk Rapids Wellness Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9060 N Bayshore Dr Ste B, Elk Rapids, MI 49629 Phone: 231-498-4552 | |
Elk Rapids Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Ames St, Elk Rapids, MI 49629 Phone: 231-264-8282 |