| Macke Family Practice LLC | |
|
1025 Fair Rd Sidney OH 45365-8947 | |
| (937) 492-1352 | |
| (937) 492-1353 |
| Full Name | Macke Family Practice LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1025 Fair Rd, Sidney, Ohio |
| Authorized Official Name and Position | Dawn Diane Macke (NURSE PRACTITIONER) |
| Authorized Official Contact | 9374921352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macke Family Practice LLC 1025 Fair Rd Sidney OH 45365-8947 Ph: (937) 492-1352 | Macke Family Practice LLC 1025 Fair Rd Sidney OH 45365-8947 Ph: (937) 492-1352 |
| NPI Number | 1730816810 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Medicare PECOS PAC ID | 5395113997 |
|---|---|
| Medicare Enrollment ID | O20221201000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730816810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Dawn Macke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336512672 PECOS PAC ID: 9234430406 Enrollment ID: I20151211000829 |
| Provider Name | Erica Marie Moses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700373990 PECOS PAC ID: 5395009831 Enrollment ID: I20180508002778 |
Sidney Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Second Avenue, Sidney, OH 45365 Phone: 937-492-9128 Fax: 937-497-0820 |
Wilson Health Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 915 W. Michigan Street, Suite 204, Sidney, OH 45365 Phone: 937-494-5940 |
Scripts 360 Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1540 Michigan St, Sidney, OH 45365 Phone: 469-915-4211 Fax: 937-658-6215 |
Young Family Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 430 4th Ave Ste 3, Sidney, OH 45365 Phone: 937-492-7797 |
Onecare Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Buckeye Ave, Sidney, OH 45365 Phone: 845-360-2552 |
Florencio L Reyes MD Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 4th Ave Ste 3, Sidney, OH 45365 Phone: 937-492-3245 Fax: 937-492-0795 |