| M-15 Family Medical Center P C | |
|
7736 Ortonville Rd Suite A Clarkston MI 48348-4483 | |
| (248) 625-5885 | |
| (248) 625-6794 |
| Full Name | M-15 Family Medical Center P C |
|---|---|
| Speciality | Family Medicine |
| Location | 7736 Ortonville Rd, Clarkston, Michigan |
| Authorized Official Name and Position | Larry J. Baylis (PRESIDENT) |
| Authorized Official Contact | 2486255885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M-15 Family Medical Center P C 7736 Ortonville Rd Suite A Clarkston MI 48348-4483 Ph: (248) 625-5885 | M-15 Family Medical Center P C 7736 Ortonville Rd Suite A Clarkston MI 48348-4483 Ph: (248) 625-5885 |
| NPI Number | 1811962376 |
|---|---|
| Provider Enumeration Date | 02/20/2006 |
| Last Update Date | 07/01/2008 |
| Medicare PECOS PAC ID | 5395757587 |
|---|---|
| Medicare Enrollment ID | O20060710000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811962376 | NPI | - | NPPES |
| 5630195 | Other | MI | BCBS |
| 080127004 | Other | MI | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101011488 (Michigan) | Primary |
| Provider Name | Larry J Baylis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902847510 PECOS PAC ID: 7012929201 Enrollment ID: I20060710000035 |
| Provider Name | Teri L Shermetaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720029044 PECOS PAC ID: 0547273740 Enrollment ID: I20060710000136 |
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