Mays Clinic | |
4299 Lake St Pob 96 Bridgman MI 49106-9109 | |
(269) 465-6221 | |
(269) 465-6299 |
Full Name | Mays Clinic |
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Speciality | Family Medicine |
Location | 4299 Lake St, Bridgman, Michigan |
Authorized Official Name and Position | Kenneth D. Mays (SOLE MBR) |
Authorized Official Contact | 2694656221 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mays Clinic 4299 Lake St Pob 96 Bridgman MI 49106-9109 Ph: (269) 465-6221 | Mays Clinic 4299 Lake St Pob 96 Bridgman MI 49106-9109 Ph: (269) 465-6221 |
NPI Number | 1578949715 |
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Provider Enumeration Date | 08/10/2015 |
Last Update Date | 08/10/2015 |
Medicare PECOS PAC ID | 9739497249 |
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Medicare Enrollment ID | O20151002001476 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578949715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301093794 (Michigan) | Primary |
Provider Name | Kenneth Darnell Mays |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356670590 PECOS PAC ID: 3678608973 Enrollment ID: I20100311000659 |
Southwestern Medical Clinic - Bridgman Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9625 Red Arrow Hwy, Bridgman, MI 49106 Phone: 269-684-0259 Fax: 269-684-0189 | |
Lakeland Medical Practices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9623 Red Arrow Hwy, Bridgman, MI 49106 Phone: 269-465-6050 |