| Family And Lifestyle Medicine | |
|
12911 Kelly Ln Grand Ledge MI 48837-8926 | |
| (989) 493-9771 | |
| (517) 210-2202 |
| Full Name | Family And Lifestyle Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 12911 Kelly Ln, Grand Ledge, Michigan |
| Authorized Official Name and Position | Kimberly Azelton (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5172580855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Lifestyle Medicine 12911 Kelly Ln Grand Ledge MI 48837-8926 Ph: (989) 493-9771 | Family And Lifestyle Medicine 12911 Kelly Ln Grand Ledge MI 48837-8926 Ph: (989) 493-9771 |
| NPI Number | 1477291102 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 05/23/2022 |
| Medicare PECOS PAC ID | 8123409018 |
|---|---|
| Medicare Enrollment ID | O20220725000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477291102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jonathan Sharley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992325492 PECOS PAC ID: 0244654622 Enrollment ID: I20230720003238 |
Physician Support Service, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11615 Hartel Rd, Suite 206, Grand Ledge, MI 48837 Phone: 517-627-2181 Fax: 517-622-1242 | |
Barbara D Saxena Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Charlevoix Dr, Suite 180, Grand Ledge, MI 48837 Phone: 517-622-1775 Fax: 517-913-6078 | |
Mid-michigan Family Medical Center, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11615 Hartel Rd, Suite 108, Grand Ledge, MI 48837 Phone: 517-627-3281 Fax: 517-627-8722 | |
Edward D. Ball D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 S. Clinton, Grand Ledge, MI 48837 Phone: 517-627-2303 Fax: 517-622-2295 | |
Dr. Janet Sprague, D.o. Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Charlevoix Dr, Suite 220, Grand Ledge, MI 48837 Phone: 517-627-1000 Fax: 517-627-1004 | |
Barbara D Saxena Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Charlevoix Dr, Suite 180, Grand Ledge, MI 48837 Phone: 517-622-1814 Fax: 517-268-6609 |