| Family Medical Center Of Michigan,inc | |
|
8765 Lewis Ave Temperance MI 48182-9583 | |
| (734) 847-3802 | |
| (734) 850-0520 |
| Full Name | Family Medical Center Of Michigan,inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8765 Lewis Ave, Temperance, Michigan |
| Authorized Official Name and Position | Ed Larkins (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7348506914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center Of Michigan,inc 8765 Lewis Ave Temperance MI 48182-9583 Ph: (734) 847-3802 | Family Medical Center Of Michigan,inc 8765 Lewis Ave Temperance MI 48182-9583 Ph: (734) 847-3802 |
| NPI Number | 1265591812 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 09/22/2020 |
| Medicare PECOS PAC ID | 2769575653 |
|---|---|
| Medicare Enrollment ID | O20070910000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265591812 | NPI | - | NPPES |
| 02214 | Other | MI | PARAMOUNT PROVIDER NUMBER |
| 18129 | Other | MI | BCBSM FACILITY CODE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Mubeen A Memon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568440774 PECOS PAC ID: 3476511403 Enrollment ID: I20041222000393 |
| Provider Name | William J Demots |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992791453 PECOS PAC ID: 8022043066 Enrollment ID: I20050928001301 |
| Provider Name | Cornelio Lopez Naguit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699753806 PECOS PAC ID: 2567638877 Enrollment ID: I20120106000654 |
| Provider Name | Sin-ching Chiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205814472 PECOS PAC ID: 8123295268 Enrollment ID: I20120112000791 |
| Provider Name | Mark T Koehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053399220 PECOS PAC ID: 2668649708 Enrollment ID: I20120112000809 |
| Provider Name | Robert J Steckmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104194638 PECOS PAC ID: 2163682048 Enrollment ID: I20120330000209 |
| Provider Name | Sarah M Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548514177 PECOS PAC ID: 6800041690 Enrollment ID: I20130228000107 |
| Provider Name | Severia Adolphus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992939052 PECOS PAC ID: 3274801246 Enrollment ID: I20170615000548 |
| Provider Name | Sandhya Jain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023500972 PECOS PAC ID: 2860740388 Enrollment ID: I20180731002492 |
| Provider Name | Christina A Yancey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316325129 PECOS PAC ID: 9133471154 Enrollment ID: I20181002002907 |
| Provider Name | Sudheer Earanky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184071896 PECOS PAC ID: 7113254483 Enrollment ID: I20190808002812 |
| Provider Name | Heather Brunk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922697168 PECOS PAC ID: 2062812951 Enrollment ID: I20210615001106 |
| Provider Name | Serina J Vanderbush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205497088 PECOS PAC ID: 0547621427 Enrollment ID: I20230726000654 |
| Provider Name | Stephen Glen Markham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790377331 PECOS PAC ID: 3072974377 Enrollment ID: I20230803000204 |
| Provider Name | Dominique Zander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740730878 PECOS PAC ID: 5890149504 Enrollment ID: I20230929000701 |
| Provider Name | Alexa J Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467096990 PECOS PAC ID: 2567814825 Enrollment ID: I20240123000814 |
| Provider Name | Heather Frederick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003020249 PECOS PAC ID: 0648622936 Enrollment ID: I20240123001871 |
| Provider Name | Kristi Biundo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568992691 PECOS PAC ID: 2961854161 Enrollment ID: I20240123002414 |
| Provider Name | Kelly Ann Swett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134699713 PECOS PAC ID: 2466805312 Enrollment ID: I20240127000588 |
| Provider Name | Christine Lynn Buckley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538825492 PECOS PAC ID: 1658715313 Enrollment ID: I20240221001536 |
Family Medical Center Of Michigan,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8405 Jackman Rd Rm 15, Temperance, MI 48182 Phone: 734-847-3802 Fax: 734-850-0520 | |
Mark T. Snyder M.d. Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8967 Lewis Ave, Temperance, MI 48182 Phone: 734-224-7900 Fax: 734-224-7912 | |
Family Medical Center Of Michigan,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8008 Jackman Rd, Temperance, MI 48182 Phone: 734-847-3802 | |
Pamela J. Hackl, D.o., Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7443 Jackman Rd, Temperance, MI 48182 Phone: 734-850-0100 Fax: 734-850-0112 | |
Family Medical Center Of Michigan, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-847-3802 Fax: 734-850-0520 | |
Lewis Avenue Now Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7980 Lewis Ave, Temperance, MI 48182 Phone: 734-847-3131 Fax: 734-847-4251 |