| Great Lakes Medical Associates, Pc | |
|
1021 E. Main Street Edmore MI 48829 | |
| (989) 427-5320 | |
| (989) 427-8220 |
| Full Name | Great Lakes Medical Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1021 E. Main Street, Edmore, Michigan |
| Authorized Official Name and Position | Prakash Sarvepalli (PRESIDENT) |
| Authorized Official Contact | 9894275320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Medical Associates, Pc 1021 E. Main Street Edmore MI 48829 Ph: (989) 427-5320 | Great Lakes Medical Associates, Pc 1021 E. Main Street Edmore MI 48829 Ph: (989) 427-5320 |
| NPI Number | 1811094295 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 09/28/2023 |
| Medicare PECOS PAC ID | 5597746024 |
|---|---|
| Medicare Enrollment ID | O20040528000954 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811094295 | NPI | - | NPPES |
| 0E91083 | Other | MI | BCBSM |
| Provider Name | Prakash Sarvepalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669411310 PECOS PAC ID: 6002897543 Enrollment ID: I20040601000976 |
| Provider Name | Sailaja Sarvepalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194764878 PECOS PAC ID: 5799828117 Enrollment ID: I20100208000519 |
| Provider Name | Ladawn M Logic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174812135 PECOS PAC ID: 3173791399 Enrollment ID: I20110714000105 |
| Provider Name | Christina M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295130847 PECOS PAC ID: 2961725288 Enrollment ID: I20141217002311 |
| Provider Name | Rebecca Marie Enright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285176347 PECOS PAC ID: 5395026520 Enrollment ID: I20170103000111 |
| Provider Name | Christina M Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144720939 PECOS PAC ID: 5395008841 Enrollment ID: I20180413001992 |
| Provider Name | Martha N Macharia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134779267 PECOS PAC ID: 6507290079 Enrollment ID: I20191217001287 |
| Provider Name | Jennifer Azelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124583158 PECOS PAC ID: 9931441755 Enrollment ID: I20230315002684 |
| Provider Name | Molly Marie Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972172054 PECOS PAC ID: 3072977768 Enrollment ID: I20230913004088 |
| Provider Name | Melanie Odeleye |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1184988255 PECOS PAC ID: 0244474633 Enrollment ID: I20231002002678 |
| Provider Name | Anne M Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306613831 PECOS PAC ID: 2961855952 Enrollment ID: I20240125003341 |
Medics Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131 E M-46, Edmore, MI 48829 Phone: 989-427-5070 Fax: 989-427-3690 | |
Isabella Medical Associates, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1021 E Main St, Edmore, MI 48829 Phone: 989-427-5320 |