| Healthy Cocoon Practice Pllc | |
|
27082 W. Main Street Edwardsburg MI 49112 | |
| (269) 246-1375 | |
| (269) 246-1376 |
| Full Name | Healthy Cocoon Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 27082 W. Main Street, Edwardsburg, Michigan |
| Authorized Official Name and Position | Lindsey D. Lira (OWNER) |
| Authorized Official Contact | 2692461375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Cocoon Practice Pllc 27082 W. Main Street Edwardsburg MI 49112 Ph: (269) 246-1375 | Healthy Cocoon Practice Pllc 27082 W. Main Street Edwardsburg MI 49112 Ph: (269) 246-1375 |
| NPI Number | 1326731050 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 05/30/2023 |
| Medicare PECOS PAC ID | 1355700428 |
|---|---|
| Medicare Enrollment ID | O20230707000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326731050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lindsey Danielle Lira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023231099 PECOS PAC ID: 4082787312 Enrollment ID: I20140114000520 |
| Provider Name | Luke A Eichorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629852868 PECOS PAC ID: 8123477841 Enrollment ID: I20231206004097 |
Beacon Medical Group Edwardsburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27082 W Main Street, Edwardsburg, MI 49112 Phone: 269-663-8288 Fax: 269-663-2426 | |
Advanced Practice Primary Care Staff Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27160 Deerfield Ln, Edwardsburg, MI 49112 Phone: 574-485-9541 |