Leelanau Family Practice Pc | |
718 N Saint Joseph St Unit K1 Suttons Bay MI 49682-8422 | |
(231) 386-0088 | |
Not Available |
Full Name | Leelanau Family Practice Pc |
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Speciality | Family Medicine |
Location | 718 N Saint Joseph St Unit K1, Suttons Bay, Michigan |
Authorized Official Name and Position | Jessica M Paquette (PHYSICIAN) |
Authorized Official Contact | 2313426596 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leelanau Family Practice Pc 718 N Saint Joseph St Unit K1 Suttons Bay MI 49682-8422 Ph: (231) 386-0068 | Leelanau Family Practice Pc 718 N Saint Joseph St Unit K1 Suttons Bay MI 49682-8422 Ph: (231) 386-0088 |
NPI Number | 1386132090 |
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Provider Enumeration Date | 04/27/2018 |
Last Update Date | 07/23/2024 |
Medicare PECOS PAC ID | 1254696776 |
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Medicare Enrollment ID | O20180601002150 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386132090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Jessica M Paquette |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811952781 PECOS PAC ID: 5395760797 Enrollment ID: I20051013000741 |
Provider Name | Jennifer M Littlefield |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770835670 PECOS PAC ID: 4486932159 Enrollment ID: I20161031002417 |
Provider Name | Molly Jane Lowe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003589276 PECOS PAC ID: 5092112888 Enrollment ID: I20210921002616 |
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