Little Traverse Primary Care | |
8881 M 119 Harbor Springs MI 49740 | |
(231) 347-5400 | |
(231) 348-2515 |
Full Name | Little Traverse Primary Care |
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Speciality | Family Medicine |
Location | 8881 M 119, Harbor Springs, Michigan |
Authorized Official Name and Position | Tricia Lee Menard (BILLING OFFICE MANAGER) |
Authorized Official Contact | 2313483808 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Little Traverse Primary Care 8881 M 119 Harbor Springs MI 49740-9479 Ph: (231) 347-5400 | Little Traverse Primary Care 8881 M 119 Harbor Springs MI 49740 Ph: (231) 347-5400 |
NPI Number | 1477509453 |
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Provider Enumeration Date | 05/25/2006 |
Last Update Date | 08/24/2021 |
Medicare PECOS PAC ID | 4688657216 |
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Medicare Enrollment ID | O20040612000345 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477509453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Emilee Lyn Kennedy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255665220 PECOS PAC ID: 1254473291 Enrollment ID: I20100128000680 |
Provider Name | Wendy H Walker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053379834 PECOS PAC ID: 7810806072 Enrollment ID: I20100928001746 |
Provider Name | Thomas Donald Loomis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376501163 PECOS PAC ID: 5395728927 Enrollment ID: I20100929000476 |
Provider Name | Kimberly Sue Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386942837 PECOS PAC ID: 1153552120 Enrollment ID: I20140317000852 |
Provider Name | Sarah Kay Wolf |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952727653 PECOS PAC ID: 4789805292 Enrollment ID: I20170825003419 |
Provider Name | Rachel J Burmeister |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811544703 PECOS PAC ID: 0749510592 Enrollment ID: I20190923000722 |
Michael Yff, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 3rd St, Harbor Springs, MI 49740 Phone: 231-526-8840 Fax: 231-526-8843 | |
Munson Healthcare Little Traverse Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8881 M 119, Harbor Springs, MI 49740 Phone: 231-347-5400 Fax: 231-348-2515 | |
Gregory Putalik, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 643 E Lake St Unit 4, Harbor Springs, MI 49740 Phone: 231-242-4734 Fax: 231-242-4700 |