Family Tree Medical Associates Pc | |
1375 W Green St Suite 1 Hastings MI 49058-1718 | |
(269) 945-7497 | |
(269) 945-0214 |
Full Name | Family Tree Medical Associates Pc |
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Speciality | Family Medicine |
Location | 1375 W Green St, Hastings, Michigan |
Authorized Official Name and Position | Robert Troy Carlson (CO-OWNER PHYSICIAN) |
Authorized Official Contact | 2699457497 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Tree Medical Associates Pc 1375 W Green St Suite 1 Hastings MI 49058-1718 Ph: (269) 945-7497 | Family Tree Medical Associates Pc 1375 W Green St Suite 1 Hastings MI 49058-1718 Ph: (269) 945-7497 |
NPI Number | 1518033976 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 02/24/2015 |
Medicare PECOS PAC ID | 9638128523 |
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Medicare Enrollment ID | O20050118000802 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518033976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Robert Carlson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396856910 PECOS PAC ID: 0345299236 Enrollment ID: I20100422000212 |
Provider Name | Brenda Sue Nyenhuis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568573012 PECOS PAC ID: 2961706502 Enrollment ID: I20160202002242 |
Provider Name | Callan Jill Oljace |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811362767 PECOS PAC ID: 9638473168 Enrollment ID: I20160203002535 |
Provider Name | Eric Michael Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942767470 PECOS PAC ID: 0840531059 Enrollment ID: I20190416000631 |
Provider Name | Shelli Suzanne Oesch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316613888 PECOS PAC ID: 0547668485 Enrollment ID: I20211007002024 |
Pennock Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St, Hastings, MI 49058 Phone: 269-945-8080 | |
Corewell Health Medical Group West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Cook Rd, Hastings, MI 49058 Phone: 616-267-7104 | |
James L Weatherhead Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St, Suite G100, Hastings, MI 49058 Phone: 269-948-7820 Fax: 269-948-2458 | |
Pennock Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St, Hastings, MI 49058 Phone: 269-948-8411 Fax: 269-948-9874 | |
Corewell Health Pennock Hospital Family Medicine - State St Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1108 W State St, Suite 3, Hastings, MI 49058 Phone: 269-945-0922 | |
Thomas M Hoffman, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 S M 37 Hwy Ste 2, Hastings, MI 49058 Phone: 269-945-3401 Fax: 269-945-2760 | |
Pennock Hospital Board Of Trustees Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 W State St, Hastings, MI 49058 Phone: 269-945-8080 |