Mcbain Primary Care | |
100 N Roland St Mc Bain MI 49657-9683 | |
(231) 825-8101 | |
Not Available |
Full Name | Mcbain Primary Care |
---|---|
Speciality | Clinic/Center |
Location | 100 N Roland St, Mc Bain, Michigan |
Authorized Official Name and Position | Bonnie Kruszka (COO MUNSON PHYSICIAN NETWORK) |
Authorized Official Contact | 2319354995 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mcbain Primary Care 3782 Momentum Pl Chicago IL 60689-5337 Ph: () - | Mcbain Primary Care 100 N Roland St Mc Bain MI 49657-9683 Ph: (231) 825-8101 |
NPI Number | 1336539063 |
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Provider Enumeration Date | 02/03/2015 |
Last Update Date | 10/02/2024 |
Medicare PECOS PAC ID | 6305161514 |
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Medicare Enrollment ID | O20150401000808 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336539063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Christina Dalton Pryde |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1033103874 PECOS PAC ID: 9638068125 Enrollment ID: I20040312000648 |
Provider Name | Marianne Dickerson |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1609872324 PECOS PAC ID: 0749274082 Enrollment ID: I20040412000250 |
Provider Name | David H Payne |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1063588168 PECOS PAC ID: 5698760171 Enrollment ID: I20040415000259 |
Provider Name | Gregory Lambourne |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598775850 PECOS PAC ID: 0143218339 Enrollment ID: I20040505000971 |
Provider Name | Margaret Rabish |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1336230481 PECOS PAC ID: 3870582141 Enrollment ID: I20040512000691 |
Provider Name | Martha A Frankowski |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1003887290 PECOS PAC ID: 9133110885 Enrollment ID: I20040520001256 |
Provider Name | Jeffrey W Wilder |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1164490611 PECOS PAC ID: 8224010905 Enrollment ID: I20040605000130 |
Provider Name | Heidi L Rohloff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679551006 PECOS PAC ID: 4183699986 Enrollment ID: I20040826000313 |
Provider Name | Stephen Welsh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609829951 PECOS PAC ID: 1850367897 Enrollment ID: I20040909001183 |
Provider Name | Diana L Novak |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1053362186 PECOS PAC ID: 1355319633 Enrollment ID: I20040923001003 |
Provider Name | Michael D Engel |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1386606671 PECOS PAC ID: 2163491580 Enrollment ID: I20041001000015 |
Provider Name | Catherine M Balanda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679550164 PECOS PAC ID: 9638122021 Enrollment ID: I20050225000153 |
Provider Name | Stephanie I Fleming |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1760450597 PECOS PAC ID: 1052355278 Enrollment ID: I20050617000335 |
Provider Name | Lynne Mccormick |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1194779983 PECOS PAC ID: 5496790917 Enrollment ID: I20050624000880 |
Provider Name | Amy Joann Taylor |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932170503 PECOS PAC ID: 8527072610 Enrollment ID: I20060127000333 |
Provider Name | James G Milliken |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1467459867 PECOS PAC ID: 4981619137 Enrollment ID: I20060209000526 |
Provider Name | Dana L Hoffman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992749279 PECOS PAC ID: 9638182736 Enrollment ID: I20060712000268 |
Provider Name | Nathan Craig Boss |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1699794958 PECOS PAC ID: 0042216483 Enrollment ID: I20061009000138 |
Provider Name | Marla D Vance |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437141330 PECOS PAC ID: 2769587369 Enrollment ID: I20070410000225 |
Provider Name | William H George |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205839131 PECOS PAC ID: 9638260870 Enrollment ID: I20070802000339 |
Provider Name | Susan Lanser |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740280965 PECOS PAC ID: 6800987041 Enrollment ID: I20070802000344 |
Provider Name | Lori Ann Booms |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265432330 PECOS PAC ID: 2567553548 Enrollment ID: I20070806000300 |
Provider Name | David S Gordon |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1477519940 PECOS PAC ID: 0648361402 Enrollment ID: I20070808000246 |
Provider Name | Lori Crago |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144223868 PECOS PAC ID: 0840381612 Enrollment ID: I20070808000421 |
Provider Name | Douglas E Cox |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295738060 PECOS PAC ID: 7214028091 Enrollment ID: I20070808000507 |
Provider Name | Brian R Drabik |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1427007301 PECOS PAC ID: 8628165461 Enrollment ID: I20071026000145 |
Provider Name | Zachary Hector Word |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1316064041 PECOS PAC ID: 1557446051 Enrollment ID: I20080307000414 |
Provider Name | Kendra G Worden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972772259 PECOS PAC ID: 7517044100 Enrollment ID: I20080407000515 |
Provider Name | Lois Neering |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215108584 PECOS PAC ID: 3476632555 Enrollment ID: I20080430000460 |
Provider Name | Nelson Roberto Pou |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1851499941 PECOS PAC ID: 1951472042 Enrollment ID: I20080617000639 |
Provider Name | Laris Edgar Galejs |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1053304600 PECOS PAC ID: 8820095359 Enrollment ID: I20081125000706 |
Provider Name | Diana Curran |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1831156165 PECOS PAC ID: 9234026642 Enrollment ID: I20081209000300 |
Provider Name | Laura M Doherty |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1629123435 PECOS PAC ID: 2062578073 Enrollment ID: I20090226000576 |
Provider Name | John P Krcmarik |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1932106531 PECOS PAC ID: 9638279151 Enrollment ID: I20100724000080 |
Provider Name | Jennifer M Piwowarski |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811149115 PECOS PAC ID: 0648465286 Enrollment ID: I20101109001173 |
Provider Name | Heather Lynn Nolan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558651125 PECOS PAC ID: 7618153172 Enrollment ID: I20110517000718 |
Provider Name | Keith W Eaton |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1457589053 PECOS PAC ID: 5092984203 Enrollment ID: I20110804000255 |
Provider Name | Paul Bizzigotti |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1770500332 PECOS PAC ID: 5496796609 Enrollment ID: I20111212000396 |
Provider Name | Nabil Elie Khoury |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1497836548 PECOS PAC ID: 4385811603 Enrollment ID: I20120126000752 |
Provider Name | Hillary A Loomis King |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1346404068 PECOS PAC ID: 3173788023 Enrollment ID: I20120627000798 |
Provider Name | Theresa S Hansen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639427024 PECOS PAC ID: 7113176264 Enrollment ID: I20121004000354 |
Provider Name | Mara L Mckinley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518244912 PECOS PAC ID: 1456503754 Enrollment ID: I20121213000302 |
Provider Name | Joshua M Ruch |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1770746257 PECOS PAC ID: 1052558053 Enrollment ID: I20130717000466 |
Provider Name | Michael D Peacock |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1104145200 PECOS PAC ID: 6406005594 Enrollment ID: I20130917000267 |
Provider Name | Michael S Mitry |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1831362425 PECOS PAC ID: 2567612443 Enrollment ID: I20130920000577 |
Provider Name | Thomas V Ohagan |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1124273958 PECOS PAC ID: 4183858269 Enrollment ID: I20131002000603 |
Provider Name | Randa S Mccall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487080339 PECOS PAC ID: 2668601071 Enrollment ID: I20140205001638 |
Provider Name | Todd L Galdes |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1376703868 PECOS PAC ID: 6406095470 Enrollment ID: I20140828001256 |
Provider Name | Jay M Ruddy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255756375 PECOS PAC ID: 2365662152 Enrollment ID: I20140929002232 |
Provider Name | Shaun C Ramsey |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1245594910 PECOS PAC ID: 4880917897 Enrollment ID: I20141224001096 |
Provider Name | Barbara S Ames |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598155020 PECOS PAC ID: 7214249374 Enrollment ID: I20150701001838 |
Provider Name | Mark Salvatore Dangelo |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1730312240 PECOS PAC ID: 2668691296 Enrollment ID: I20150722005926 |
Provider Name | Yelena E Kier |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1659532034 PECOS PAC ID: 9335329358 Enrollment ID: I20150825003547 |
Provider Name | Julie Comfort |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215308036 PECOS PAC ID: 3476857533 Enrollment ID: I20160210000634 |
Provider Name | Michael D Susalla |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1780942680 PECOS PAC ID: 4981910551 Enrollment ID: I20160706002237 |
Provider Name | Joseph P Ward |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1902127764 PECOS PAC ID: 5294968665 Enrollment ID: I20160711000375 |
Provider Name | George Edward Miller |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1578829149 PECOS PAC ID: 0446552921 Enrollment ID: I20160714001328 |
Provider Name | Steven Brennan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487093589 PECOS PAC ID: 5890089536 Enrollment ID: I20160803002179 |
Provider Name | Kristian M Koller |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1760793368 PECOS PAC ID: 6305130238 Enrollment ID: I20160816000100 |
Provider Name | Rebecca A Otten |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013355353 PECOS PAC ID: 6305168451 Enrollment ID: I20160906000417 |
Provider Name | Timothy J Huschke |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1982692521 PECOS PAC ID: 1658458435 Enrollment ID: I20160908001081 |
Provider Name | Kelly R Donovan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215373451 PECOS PAC ID: 7012203649 Enrollment ID: I20160908001375 |
Provider Name | James M Diener |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588004915 PECOS PAC ID: 6002135720 Enrollment ID: I20160914001961 |
Provider Name | Melvin M Vallette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083160246 PECOS PAC ID: 7517255672 Enrollment ID: I20161005002813 |
Provider Name | Lydia Mayida |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1992921894 PECOS PAC ID: 4981883139 Enrollment ID: I20170428001409 |
Provider Name | William J Kanitz |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1871907899 PECOS PAC ID: 5799900817 Enrollment ID: I20170628003419 |
Provider Name | Jennifer P Brown |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1669981742 PECOS PAC ID: 9032478862 Enrollment ID: I20180124000101 |
Provider Name | Craig A Derror |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1124366950 PECOS PAC ID: 0446512925 Enrollment ID: I20180321000683 |
Provider Name | Bruce S Daman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780191478 PECOS PAC ID: 8426311655 Enrollment ID: I20180420001347 |
Provider Name | Abdul M Malik |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1952300584 PECOS PAC ID: 7315002979 Enrollment ID: I20180925002370 |
Provider Name | Matthew J Dubiel |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1114280898 PECOS PAC ID: 7911135256 Enrollment ID: I20181008001654 |
Provider Name | Jacob R Deboni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578036091 PECOS PAC ID: 7810235488 Enrollment ID: I20190207000516 |
Provider Name | Georgia Olga Pozios |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013449859 PECOS PAC ID: 4486997863 Enrollment ID: I20190529000516 |
Provider Name | Hope Jane Mitchell |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1245741628 PECOS PAC ID: 2769740695 Enrollment ID: I20190710000618 |
Provider Name | Phoebe Day Danziger |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1669885125 PECOS PAC ID: 4183931165 Enrollment ID: I20190912000243 |
Provider Name | Bobak Rahmanian |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1124068325 PECOS PAC ID: 5890715643 Enrollment ID: I20190917003337 |
Provider Name | Kelly Van Assche |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912249921 PECOS PAC ID: 1850527789 Enrollment ID: I20191029001574 |
Provider Name | Bridgette Mary-catherine Radak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013552785 PECOS PAC ID: 5193151553 Enrollment ID: I20200203000887 |
Provider Name | Lindsey Marie Ranstadler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033674072 PECOS PAC ID: 3375970114 Enrollment ID: I20200217004268 |
Provider Name | Karie Lynn Llewellyn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942763164 PECOS PAC ID: 7618304478 Enrollment ID: I20200218000654 |
Provider Name | Ferris Alkazir |
---|---|
Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1053757849 PECOS PAC ID: 3476785213 Enrollment ID: I20200319002106 |
Provider Name | Jacob James Ballard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558993667 PECOS PAC ID: 2163850322 Enrollment ID: I20200322000164 |
Provider Name | Justin C Bedford |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1356874838 PECOS PAC ID: 7911275847 Enrollment ID: I20200605002001 |
Provider Name | Ahmed Mirza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407320559 PECOS PAC ID: 0840530341 Enrollment ID: I20200716002927 |
Provider Name | Jacob Szafranski |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1407383615 PECOS PAC ID: 5698191013 Enrollment ID: I20200817001462 |
Provider Name | William E L Reichardt |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194174789 PECOS PAC ID: 7517254378 Enrollment ID: I20210122001784 |
Provider Name | Stacy Moniz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740819499 PECOS PAC ID: 7719391549 Enrollment ID: I20210205001333 |
Provider Name | Tammy Radionoff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245719194 PECOS PAC ID: 2163844184 Enrollment ID: I20210224001336 |
Provider Name | Anna Jacqueline Cvetich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164086526 PECOS PAC ID: 8729497623 Enrollment ID: I20210505001908 |
Provider Name | Yelena Davis |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1851812929 PECOS PAC ID: 7618247149 Enrollment ID: I20210607001748 |
Provider Name | Jack Zuckerman |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1508093428 PECOS PAC ID: 3476773938 Enrollment ID: I20210610001538 |
Provider Name | Darla Balas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912357096 PECOS PAC ID: 6608160080 Enrollment ID: I20210929002792 |
Provider Name | George T Contos |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1376075770 PECOS PAC ID: 5698043974 Enrollment ID: I20220218001780 |
Provider Name | Lauren Ashley Nickerson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467113399 PECOS PAC ID: 3577958586 Enrollment ID: I20220309001960 |
Provider Name | Makenzie Tremp |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1891284360 PECOS PAC ID: 6507233053 Enrollment ID: I20221114000563 |
Provider Name | Amy Norene Popa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164128807 PECOS PAC ID: 9931572336 Enrollment ID: I20230306002475 |
Provider Name | Stephanie Lee Mccarthy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699419960 PECOS PAC ID: 8123493558 Enrollment ID: I20230417001256 |
Provider Name | Rachel Ann Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255016416 PECOS PAC ID: 0749641322 Enrollment ID: I20230728002468 |
Provider Name | Donald Scholten |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1386176964 PECOS PAC ID: 2062782964 Enrollment ID: I20230829001145 |
Provider Name | Haley G Hathaway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811775448 PECOS PAC ID: 0345695797 Enrollment ID: I20231005000398 |
Provider Name | Amanda E Linnee |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1548977986 PECOS PAC ID: 5799125266 Enrollment ID: I20240501000622 |
Provider Name | Destiny Rebecca Vredenburg |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386287704 PECOS PAC ID: 9133561582 Enrollment ID: I20240530002133 |
James R. Wilson Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 S Hughston St, Mc Bain, MI 49657 Phone: 231-775-6076 Fax: 231-775-0027 | |
Mcbain Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Roland St, Mc Bain, MI 49657 Phone: 231-825-8101 Fax: 231-825-8104 | |
Baldwin Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S Roland St, Mc Bain, MI 49657 Phone: 231-825-2643 Fax: 231-825-0161 | |
Great Lakes Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 N Roland St, Mc Bain, MI 49657 Phone: 231-825-2643 Fax: 231-825-0161 | |
Mercy Cadillac Physician Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Roland St, Mc Bain, MI 49657 Phone: 231-876-6200 | |
Great Lakes Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 N Roland St, Mc Bain, MI 49657 Phone: 231-825-2643 Fax: 231-825-0161 |