Horizon Family Medicine Pllc | |
3041 Commerce Dr Ste B Fort Gratiot MI 48059-3877 | |
(810) 385-4342 | |
Not Available |
Full Name | Horizon Family Medicine Pllc |
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Speciality | Family Medicine |
Location | 3041 Commerce Dr Ste B, Fort Gratiot, Michigan |
Authorized Official Name and Position | Julie A Boutt (SOLE MEMBER) |
Authorized Official Contact | 8103854342 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Horizon Family Medicine Pllc 6060 Wildrose Ln Burtchville MI 48059-4310 Ph: (810) 385-4342 | Horizon Family Medicine Pllc 3041 Commerce Dr Ste B Fort Gratiot MI 48059-3877 Ph: (810) 385-4342 |
NPI Number | 1427693761 |
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Provider Enumeration Date | 11/11/2019 |
Last Update Date | 11/11/2019 |
Medicare PECOS PAC ID | 9830524941 |
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Medicare Enrollment ID | O20200120000198 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427693761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Julie A Boutt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285749549 PECOS PAC ID: 8224003827 Enrollment ID: I20040827000544 |
Provider Name | Ashley Glaza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366023681 PECOS PAC ID: 7618386152 Enrollment ID: I20210512002796 |
B. Nakhleh, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059 Phone: 810-216-4000 Fax: 810-216-4001 | |
Randy J. Plonka M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5979 Lakeshore Rd, Fort Gratiot, MI 48059 Phone: 810-385-6370 Fax: 810-385-6357 | |
Lighthouse Family Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4071 24th Ave, Fort Gratiot, MI 48059 Phone: 810-824-4222 Fax: 810-824-4220 | |
Port Huron Mercy Family Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059 Phone: 810-216-4000 Fax: 810-216-4001 | |
Sunrise Pace Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5229 Lakeshore Road, Fort Gratiot, MI 48059 Phone: 810-388-6300 Fax: 810-388-6305 | |
Lake Huron Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059 Phone: 810-216-4000 Fax: 810-216-4001 |