| Family Practice Of Cadillac Pc | |
|
827 E Division St Cadillac MI 49601-2015 | |
| (231) 775-9741 | |
| Not Available |
| Full Name | Family Practice Of Cadillac Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 827 E Division St, Cadillac, Michigan |
| Authorized Official Name and Position | Carol Corwin (OFFICE MANAGER) |
| Authorized Official Contact | 2317759741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Of Cadillac Pc 827 E Division St Cadillac MI 49601-2015 Ph: () - | Family Practice Of Cadillac Pc 827 E Division St Cadillac MI 49601-2015 Ph: (231) 775-9741 |
| NPI Number | 1336250323 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 11/02/2020 |
| Medicare PECOS PAC ID | 8123094414 |
|---|---|
| Medicare Enrollment ID | O20040908000820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336250323 | NPI | - | NPPES |
| 080H36303 | Other | MI | BLUE CROSS BLUE SHIELD ID |
| CA0610 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alicia Tenney Elmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700887841 PECOS PAC ID: 7416923701 Enrollment ID: I20040908000893 |
| Provider Name | Brandon Charles Peltier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679566863 PECOS PAC ID: 2567408552 Enrollment ID: I20050629001134 |
| Provider Name | Helen M Kiomento |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316927106 PECOS PAC ID: 8820017809 Enrollment ID: I20051118000483 |
| Provider Name | Kevin E Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942202916 PECOS PAC ID: 8820064116 Enrollment ID: I20100609000775 |
| Provider Name | Elizabeth S Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982959235 PECOS PAC ID: 8022399633 Enrollment ID: I20161219002340 |
| Provider Name | Sergei V Shumaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366830606 PECOS PAC ID: 8325317167 Enrollment ID: I20170710002869 |
Great Lakes Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Cobb St, Cadillac, MI 49601 Phone: 231-775-6521 Fax: 231-876-6519 | |
Wexford Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Cobb St, Cadillac, MI 49601 Phone: 231-775-6521 Fax: 231-876-6519 | |
Stehouwer Free Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N Mitchell St, L-1, Cadillac, MI 49601 Phone: 231-876-6152 Fax: 231-779-9829 | |
Cadillac Family Physicians, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8950 Professional Dr, Cadillac, MI 49601 Phone: 231-775-2493 Fax: 231-775-2570 | |
Great Lakes Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Cobb St, Cadillac, MI 49601 Phone: 231-876-6521 Fax: 231-876-6519 | |
Cadillac Primary Care & Obgyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7985 Mackinaw Trl, Cadillac, MI 49601 Phone: 231-876-6200 |