| Glennan Medical Group Pc | |
|
72 S Washington St Suite 204 Oxford MI 48371-6421 | |
| (248) 628-2233 | |
| (248) 628-2384 |
| Full Name | Glennan Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 72 S Washington St, Oxford, Michigan |
| Authorized Official Name and Position | Sheryl Wissman (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2486282233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glennan Medical Group Pc 72 S Washington St Suite 204 Oxford MI 48371-6421 Ph: (248) 628-2233 | Glennan Medical Group Pc 72 S Washington St Suite 204 Oxford MI 48371-6421 Ph: (248) 628-2233 |
| NPI Number | 1285632364 |
|---|---|
| Provider Enumeration Date | 07/12/2005 |
| Last Update Date | 04/22/2020 |
| Medicare PECOS PAC ID | 6002875457 |
|---|---|
| Medicare Enrollment ID | O20041011000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285632364 | NPI | - | NPPES |
| 125218 | Other | MI | PREFERRED CHOICES |
| 7023567 | Other | MI | AETNA |
| CF9338 | Other | MI | RAILROAD MEDICARE |
| I17832 | Other | MI | HAP |
| 110F302700 | Other | MI | BCBS |
| 4266551 | Other | MI | AETNA |
| E49479 | Other | MI | HAP |
| 1011749 | Other | MI | HEALTH ADVANTAGE |
| 4603282 | Medicaid | MI | |
| 4406452 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301051927 (Michigan) | Primary |
| Provider Name | Sheryl Ann Wissman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386642056 PECOS PAC ID: 6608835053 Enrollment ID: I20041012001541 |
| Provider Name | Melissa Joanne Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942468533 PECOS PAC ID: 0648445445 Enrollment ID: I20111206000491 |
| Provider Name | Rachel Maryann Klamo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497953533 PECOS PAC ID: 3274689856 Enrollment ID: I20150710001328 |
Lakeside Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 S Washington St, Suite 202, Oxford, MI 48371 Phone: 248-628-0220 Fax: 248-628-0226 | |
Meadowbrook Family Medcenters Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 N Lapeer Rd, Oxford, MI 48371 Phone: 248-628-2597 Fax: 248-628-8802 |