| Internal Medicine & Aesthetics | |
|
6505 Constitution Blvd Portage MI 49024-1604 | |
| (269) 599-8140 | |
| (269) 324-4329 |
| Full Name | Internal Medicine & Aesthetics |
|---|---|
| Speciality | Internal Medicine |
| Location | 6505 Constitution Blvd, Portage, Michigan |
| Authorized Official Name and Position | Julie Bergman (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7659644100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine & Aesthetics Po Box 443 Union City IN 47390-0443 Ph: (765) 964-4100 | Internal Medicine & Aesthetics 6505 Constitution Blvd Portage MI 49024-1604 Ph: (269) 599-8140 |
| NPI Number | 1780442103 |
|---|---|
| Provider Enumeration Date | 03/11/2024 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 1759721368 |
|---|---|
| Medicare Enrollment ID | O20240430002265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780442103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rockelle D Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962596502 PECOS PAC ID: 8123052917 Enrollment ID: I20050921000599 |
Myndfull Care Michigan Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5930 Lovers Ln Ste L1, Portage, MI 49002 Phone: 855-839-8878 | |
Horizon Health Solutions Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 724 W Centre Ave Ste 105, Portage, MI 49024 Phone: 269-501-1753 | |
Internal Medicine And Vitality, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6505 Constitution Blvd Ste C, Portage, MI 49024 Phone: 269-254-3319 | |
Progressive Eyecare Centre Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1612 E. Centre Ave., Portage, MI 49002 Phone: 269-329-1030 Fax: 269-329-0966 | |
James E. Hanlon Md, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8145 Valleywood Ln, Suite B, Portage, MI 49024 Phone: 269-324-9162 Fax: 269-375-6078 | |
Fidamar Medical Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 451 W Milham Ave, Portage, MI 49024 Phone: 269-254-8400 Fax: 269-254-8350 | |
Ascension Medical Group Promed Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-552-2912 Fax: 269-552-2835 |