| Family Physicians-dr Phillip J Gaca Pc | |
|
6265 West River Dr Ne Belmont MI 49306-9078 | |
| (616) 365-7614 | |
| Not Available |
| Full Name | Family Physicians-dr Phillip J Gaca Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6265 West River Dr Ne, Belmont, Michigan |
| Authorized Official Name and Position | Pauline Ann Reynolds (OFFICE MANAGER) |
| Authorized Official Contact | 6163657614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Physicians-dr Phillip J Gaca Pc 6265 West River Dr Ne Belmont MI 49306-9078 Ph: (616) 365-7614 | Family Physicians-dr Phillip J Gaca Pc 6265 West River Dr Ne Belmont MI 49306-9078 Ph: (616) 365-7614 |
| NPI Number | 1093991457 |
|---|---|
| Provider Enumeration Date | 01/16/2008 |
| Last Update Date | 06/07/2013 |
| Medicare PECOS PAC ID | 7214956853 |
|---|---|
| Medicare Enrollment ID | O20051114000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093991457 | NPI | - | NPPES |
| 3018321 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101007882 (Michigan) | Primary |
| Provider Name | Phillip Joseph Gaca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912999210 PECOS PAC ID: 6901825546 Enrollment ID: I20051114000513 |
Michigan Medical Patient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5761 Jupiter Ave Ne, Belmont, MI 49306 Phone: 616-364-0120 | |
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