| Mercy Physician Network | |
|
2006 Holton Rd Muskegon MI 49445 | |
| (231) 672-3333 | |
| Not Available |
| Full Name | Mercy Physician Network |
|---|---|
| Speciality | Family Medicine |
| Location | 2006 Holton Rd, Muskegon, Michigan |
| Authorized Official Name and Position | Michael Gusho (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7343980642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Physician Network Po Box 1848 Muskegon MI 49443-1848 Ph: (231) 672-2120 | Mercy Physician Network 2006 Holton Rd Muskegon MI 49445 Ph: (231) 672-3333 |
| NPI Number | 1023056744 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 10/09/2024 |
| Medicare PECOS PAC ID | 8921996307 |
|---|---|
| Medicare Enrollment ID | O20040308000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023056744 | NPI | - | NPPES |
| Provider Name | John A Mcaree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902845654 PECOS PAC ID: 1254244486 Enrollment ID: I20031112000456 |
| Provider Name | Nancy F Brenneman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316925993 PECOS PAC ID: 2668379496 Enrollment ID: I20031218000409 |
| Provider Name | Wayne L Brenneman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346228913 PECOS PAC ID: 9537066378 Enrollment ID: I20031218000439 |
| Provider Name | Kevin M Kiley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063426468 PECOS PAC ID: 5496652232 Enrollment ID: I20031218000454 |
| Provider Name | Scott A Addison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548236888 PECOS PAC ID: 2264330984 Enrollment ID: I20031219000406 |
| Provider Name | James P Twesten Otoole |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1174599344 PECOS PAC ID: 5193623825 Enrollment ID: I20031219000437 |
| Provider Name | Gretchen C Goltz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629013685 PECOS PAC ID: 7113825084 Enrollment ID: I20031230000260 |
| Provider Name | Michelle C Klanke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851361802 PECOS PAC ID: 4981502887 Enrollment ID: I20031230000375 |
| Provider Name | Antoinette M Hildwein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710957790 PECOS PAC ID: 7416855317 Enrollment ID: I20031230000390 |
| Provider Name | Bartholomew D Sak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093755167 PECOS PAC ID: 1658267877 Enrollment ID: I20040225000342 |
| Provider Name | Ho See C Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588617914 PECOS PAC ID: 5597653154 Enrollment ID: I20040306000050 |
| Provider Name | Chad Kenneth Uptigrove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851378657 PECOS PAC ID: 4486647740 Enrollment ID: I20040405000612 |
| Provider Name | Timothy L Beechnau |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083619936 PECOS PAC ID: 9133114069 Enrollment ID: I20040421000797 |
| Provider Name | Darrell Steven Roelandt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326028028 PECOS PAC ID: 4688662505 Enrollment ID: I20040430001244 |
| Provider Name | Michael V Bergquist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174570303 PECOS PAC ID: 1153312285 Enrollment ID: I20040519000316 |
| Provider Name | Martin T Russo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508876236 PECOS PAC ID: 2264416718 Enrollment ID: I20040614001359 |
| Provider Name | David R Folkmier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871587287 PECOS PAC ID: 7214840438 Enrollment ID: I20040805000525 |
| Provider Name | Eric C Rop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396711560 PECOS PAC ID: 5799752341 Enrollment ID: I20040913001234 |
| Provider Name | Pamela K Wirth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073566071 PECOS PAC ID: 5294799375 Enrollment ID: I20041118000062 |
| Provider Name | Margaret-elizabeth R Wolter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447251442 PECOS PAC ID: 4981660461 Enrollment ID: I20041207000140 |
| Provider Name | Thomas B Foster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033183371 PECOS PAC ID: 1153356423 Enrollment ID: I20051005000876 |
| Provider Name | Edward A Hatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770587008 PECOS PAC ID: 3375445364 Enrollment ID: I20060503000366 |
| Provider Name | Mary Ellen Walter Rosel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821044280 PECOS PAC ID: 4587676598 Enrollment ID: I20060612000129 |
| Provider Name | Fredric A Reyelts |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285687467 PECOS PAC ID: 9234133232 Enrollment ID: I20060906000217 |
| Provider Name | Gerald S Witherell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114970126 PECOS PAC ID: 0840294658 Enrollment ID: I20060911000291 |
| Provider Name | Laurie J Daum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457302184 PECOS PAC ID: 8820093214 Enrollment ID: I20060918000354 |
| Provider Name | Raymond P Rabideau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356345698 PECOS PAC ID: 3173425170 Enrollment ID: I20061006000352 |
| Provider Name | Eric B Sandy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710951827 PECOS PAC ID: 0941234512 Enrollment ID: I20070504000088 |
| Provider Name | Jack R Roossien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184610669 PECOS PAC ID: 9638071632 Enrollment ID: I20070511000243 |
| Provider Name | Marilena Oravitan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891752168 PECOS PAC ID: 1254394737 Enrollment ID: I20071218000361 |
| Provider Name | Tina L Tanner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881645513 PECOS PAC ID: 1951481340 Enrollment ID: I20080110000631 |
| Provider Name | William F Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972526259 PECOS PAC ID: 8527142991 Enrollment ID: I20080222000580 |
| Provider Name | Jay Albert Klein |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1184799199 PECOS PAC ID: 5597843433 Enrollment ID: I20080417000579 |
| Provider Name | Dandrea M Heeres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548480197 PECOS PAC ID: 6901966035 Enrollment ID: I20081119000818 |
| Provider Name | Anthony V Izokaitis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699752477 PECOS PAC ID: 1658434659 Enrollment ID: I20090119000108 |
| Provider Name | Terence A Hambleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306901632 PECOS PAC ID: 4688727977 Enrollment ID: I20090804000518 |
| Provider Name | James R Grace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215914023 PECOS PAC ID: 9335281971 Enrollment ID: I20100120000816 |
| Provider Name | Kristen K Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093792855 PECOS PAC ID: 6305988940 Enrollment ID: I20100120000847 |
| Provider Name | Brian S Burdo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245216035 PECOS PAC ID: 7719022961 Enrollment ID: I20100226000775 |
| Provider Name | Michael Banka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013994870 PECOS PAC ID: 7618012865 Enrollment ID: I20100226000788 |
| Provider Name | Katherine L Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275510034 PECOS PAC ID: 3971648122 Enrollment ID: I20100226000793 |
| Provider Name | Marcela A Novakosky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700863503 PECOS PAC ID: 8325183577 Enrollment ID: I20100226000813 |
| Provider Name | Ronald Craig Chusid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841379260 PECOS PAC ID: 1850428434 Enrollment ID: I20100430000255 |
| Provider Name | Ken Ke Ye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427035229 PECOS PAC ID: 7315075108 Enrollment ID: I20100515000049 |
| Provider Name | Elaine M Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609853498 PECOS PAC ID: 3779611561 Enrollment ID: I20100515000056 |
| Provider Name | Irma P Parra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932186624 PECOS PAC ID: 4688703291 Enrollment ID: I20100519000960 |
| Provider Name | Diane L Parrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952388563 PECOS PAC ID: 9032248257 Enrollment ID: I20100526001119 |
| Provider Name | Donna B Zambetis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063653335 PECOS PAC ID: 1557492030 Enrollment ID: I20100628000174 |
| Provider Name | Michael E Krohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124012521 PECOS PAC ID: 6204749427 Enrollment ID: I20100723000637 |
| Provider Name | Karen D Fujii |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083648463 PECOS PAC ID: 9436342482 Enrollment ID: I20101021001433 |
| Provider Name | Lindsay Leigh Oliveira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942427935 PECOS PAC ID: 9931267101 Enrollment ID: I20110121000649 |
| Provider Name | Valerie S Conrad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205020088 PECOS PAC ID: 7214119189 Enrollment ID: I20110314000771 |
| Provider Name | Kourtnee J Naylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689964397 PECOS PAC ID: 5395922272 Enrollment ID: I20110601000461 |
| Provider Name | Mark J Foreman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467656272 PECOS PAC ID: 6608044755 Enrollment ID: I20110718000070 |
| Provider Name | Krista J Hillman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265749451 PECOS PAC ID: 0446410872 Enrollment ID: I20120322000281 |
| Provider Name | Margaret A Szarowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649546912 PECOS PAC ID: 8224289764 Enrollment ID: I20121110000111 |
| Provider Name | Tracey A Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801137229 PECOS PAC ID: 3870738776 Enrollment ID: I20130326000022 |
| Provider Name | Monica Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184808263 PECOS PAC ID: 6608012349 Enrollment ID: I20130424000904 |
| Provider Name | Susan D Blackburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649512484 PECOS PAC ID: 3870730161 Enrollment ID: I20130503000456 |
| Provider Name | Monica A Bowen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366768756 PECOS PAC ID: 3375786379 Enrollment ID: I20130823000138 |
| Provider Name | Nicholas S Beechnau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164784724 PECOS PAC ID: 1658507637 Enrollment ID: I20131121000921 |
| Provider Name | Alexander F Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952664583 PECOS PAC ID: 9830331693 Enrollment ID: I20140220001467 |
| Provider Name | Stephanie L Misciasci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194044636 PECOS PAC ID: 9335362565 Enrollment ID: I20140515001803 |
| Provider Name | Alicia A Boone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700170032 PECOS PAC ID: 3375769771 Enrollment ID: I20140721001229 |
| Provider Name | Kyle Vernon Kramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568588432 PECOS PAC ID: 8224123542 Enrollment ID: I20140915001108 |
| Provider Name | Aruna V Josyula |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1396993788 PECOS PAC ID: 8123276144 Enrollment ID: I20141022001105 |
| Provider Name | Kelly A Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558709964 PECOS PAC ID: 1658694898 Enrollment ID: I20141219001519 |
| Provider Name | Jonas P Berlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932545886 PECOS PAC ID: 8224351481 Enrollment ID: I20141219002155 |
| Provider Name | Kathleen R Everitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841677895 PECOS PAC ID: 7810217981 Enrollment ID: I20150514000159 |
| Provider Name | Jonathan Vanderslik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477815850 PECOS PAC ID: 4981835345 Enrollment ID: I20150807013855 |
| Provider Name | Justin M Davies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376807933 PECOS PAC ID: 6901113240 Enrollment ID: I20150917002808 |
| Provider Name | Stephen C Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114331535 PECOS PAC ID: 7719297894 Enrollment ID: I20151102000231 |
| Provider Name | Kent Vandevrede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194163279 PECOS PAC ID: 2668777376 Enrollment ID: I20160217002252 |
| Provider Name | Jennifer K Dulaney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922445022 PECOS PAC ID: 3577853076 Enrollment ID: I20160610001215 |
| Provider Name | Caitlin E Fulton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093120594 PECOS PAC ID: 2860783370 Enrollment ID: I20160614000165 |
| Provider Name | Rita Mae Dekker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033588629 PECOS PAC ID: 6103119524 Enrollment ID: I20160722001322 |
| Provider Name | Paul Andrew Trowbridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205098803 PECOS PAC ID: 3870807993 Enrollment ID: I20160802000219 |
| Provider Name | Matthew Schoeck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548535719 PECOS PAC ID: 2466747555 Enrollment ID: I20160829002032 |
| Provider Name | Jonathan Rouwhorst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508120122 PECOS PAC ID: 9133438633 Enrollment ID: I20160902000717 |
| Provider Name | Sara C Kirchhoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760914535 PECOS PAC ID: 0446537633 Enrollment ID: I20170425001504 |
| Provider Name | Kyle Douglas Mckinney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487069233 PECOS PAC ID: 9234438755 Enrollment ID: I20170619001280 |
| Provider Name | Amy E Milito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871907097 PECOS PAC ID: 2668743501 Enrollment ID: I20170810001902 |
| Provider Name | Laura J Hickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881116457 PECOS PAC ID: 0042581845 Enrollment ID: I20170811001000 |
| Provider Name | Elizabeth A Hess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467709345 PECOS PAC ID: 2466727268 Enrollment ID: I20171004001878 |
| Provider Name | Kevin A Smalley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548619943 PECOS PAC ID: 4183983562 Enrollment ID: I20180110000167 |
| Provider Name | Matthew James Tornga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902255714 PECOS PAC ID: 2264795608 Enrollment ID: I20180417000865 |
| Provider Name | Joshua Kalb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851741854 PECOS PAC ID: 7810288545 Enrollment ID: I20180425000830 |
| Provider Name | Alysia Hogan Kinning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285013482 PECOS PAC ID: 2567776610 Enrollment ID: I20180426000490 |
| Provider Name | Amanda P Poisson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720444391 PECOS PAC ID: 5991053597 Enrollment ID: I20180730001008 |
| Provider Name | Jennifer Marie Delongpre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053793471 PECOS PAC ID: 4385951235 Enrollment ID: I20180816000476 |
| Provider Name | Nicole Steffen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639560204 PECOS PAC ID: 6608116983 Enrollment ID: I20190325000148 |
| Provider Name | Amanda R Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861874190 PECOS PAC ID: 8426383407 Enrollment ID: I20190712001768 |
| Provider Name | Sean M Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023469590 PECOS PAC ID: 8527394055 Enrollment ID: I20190722002921 |
| Provider Name | Jacob Marshall Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720367055 PECOS PAC ID: 0143558577 Enrollment ID: I20190823000285 |
| Provider Name | Lana Joubert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659722627 PECOS PAC ID: 6406184837 Enrollment ID: I20190823000348 |
| Provider Name | Shawn Patrick Reidy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013438886 PECOS PAC ID: 2860763372 Enrollment ID: I20190905000336 |
| Provider Name | Tarajo Lynn Hanrahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295256063 PECOS PAC ID: 6507137015 Enrollment ID: I20190910000123 |
| Provider Name | Rachel Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285270736 PECOS PAC ID: 1456785633 Enrollment ID: I20191220001280 |
| Provider Name | Tara Marie Steketee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225677990 PECOS PAC ID: 4183059348 Enrollment ID: I20200115002584 |
| Provider Name | Michelle Renee Vugteveen Faber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245364744 PECOS PAC ID: 2365432135 Enrollment ID: I20200227001304 |
| Provider Name | Dustin M James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952857872 PECOS PAC ID: 2567758642 Enrollment ID: I20200326000468 |
| Provider Name | Gregory Allan Holton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194136556 PECOS PAC ID: 9931530300 Enrollment ID: I20200519002127 |
| Provider Name | Zachary Norman Ginsburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649704495 PECOS PAC ID: 4183045883 Enrollment ID: I20200604003071 |
| Provider Name | Allison Jean Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780272211 PECOS PAC ID: 6800201203 Enrollment ID: I20210217001462 |
| Provider Name | Matthew Keith Eller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689151680 PECOS PAC ID: 7012253339 Enrollment ID: I20210423000978 |
| Provider Name | Sandra A Raehtz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629569785 PECOS PAC ID: 0244639839 Enrollment ID: I20210602001608 |
| Provider Name | Christopher Brian Currie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508353459 PECOS PAC ID: 3173879392 Enrollment ID: I20210623001273 |
| Provider Name | Amanda Katherine Willhardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215428339 PECOS PAC ID: 2860893450 Enrollment ID: I20210702002301 |
| Provider Name | Brittany C Wildgen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902390529 PECOS PAC ID: 1658629993 Enrollment ID: I20210722003039 |
| Provider Name | Sharlene Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568788172 PECOS PAC ID: 3678719960 Enrollment ID: I20211014000573 |
| Provider Name | Lauren Nicole Detweiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588209985 PECOS PAC ID: 9638506744 Enrollment ID: I20211216000519 |
| Provider Name | Amanda J Covell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295333938 PECOS PAC ID: 6204229024 Enrollment ID: I20220131001115 |
| Provider Name | Alayna A Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992398689 PECOS PAC ID: 5092108399 Enrollment ID: I20220209001922 |
| Provider Name | Jennifer J Droski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013444868 PECOS PAC ID: 5496142358 Enrollment ID: I20220422000937 |
| Provider Name | Daniel J Denooyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932509726 PECOS PAC ID: 0446647317 Enrollment ID: I20220422001151 |
| Provider Name | Laura B Dewit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679214233 PECOS PAC ID: 5395132211 Enrollment ID: I20220425000447 |
| Provider Name | Teresa M Mann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073885901 PECOS PAC ID: 1759778582 Enrollment ID: I20220426002856 |
| Provider Name | Kyle D Kutsche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790047918 PECOS PAC ID: 9133349376 Enrollment ID: I20220606000388 |
| Provider Name | Wesley Schermer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043878804 PECOS PAC ID: 1557741378 Enrollment ID: I20220711000513 |
| Provider Name | Sean M Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255892766 PECOS PAC ID: 7113308776 Enrollment ID: I20220714000811 |
| Provider Name | Caitlin Blackmer Sturr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437891900 PECOS PAC ID: 7214318047 Enrollment ID: I20220725002881 |
| Provider Name | Carly Ann Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811629058 PECOS PAC ID: 1254715782 Enrollment ID: I20220901002601 |
| Provider Name | Shelby L Vanhouten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942830963 PECOS PAC ID: 8921483116 Enrollment ID: I20220926000195 |
| Provider Name | Syed Sohaib Husaini |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386098804 PECOS PAC ID: 8022302629 Enrollment ID: I20221102001208 |
| Provider Name | Agnes A Bacon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457020810 PECOS PAC ID: 7113395740 Enrollment ID: I20221201001945 |
| Provider Name | Carleen M Riley-mercado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427646983 PECOS PAC ID: 6305215518 Enrollment ID: I20221210000056 |
| Provider Name | James Peter Heyboer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255548442 PECOS PAC ID: 0042335903 Enrollment ID: I20230517001839 |
| Provider Name | Kendra K Vander Sluis-kallemeyn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548952039 PECOS PAC ID: 0446618763 Enrollment ID: I20230620000361 |
| Provider Name | Desiree D Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134764228 PECOS PAC ID: 6204294150 Enrollment ID: I20230625000101 |
| Provider Name | George W Neros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780212456 PECOS PAC ID: 7012377211 Enrollment ID: I20230719004055 |
| Provider Name | Rachael Nicole Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205464955 PECOS PAC ID: 9133580970 Enrollment ID: I20230726003350 |
| Provider Name | David Joseph Doud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538785738 PECOS PAC ID: 0941624944 Enrollment ID: I20230818003120 |
| Provider Name | Paul Filip Ziedins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114311321 PECOS PAC ID: 1951764117 Enrollment ID: I20230906000517 |
| Provider Name | Somer L Bareman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700663200 PECOS PAC ID: 9133575228 Enrollment ID: I20231025003594 |
| Provider Name | Megan Marie Michelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811697758 PECOS PAC ID: 6800243767 Enrollment ID: I20231114003019 |
| Provider Name | Timothy Jon Buning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851617708 PECOS PAC ID: 2567810849 Enrollment ID: I20231127002714 |
| Provider Name | Sydnie Jayne Alviar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700459732 PECOS PAC ID: 1951750439 Enrollment ID: I20231208002182 |
| Provider Name | Jennifer Marie Krieger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518662097 PECOS PAC ID: 6406209014 Enrollment ID: I20240131001041 |
| Provider Name | Erin Melissa Losee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447024989 PECOS PAC ID: 0345693602 Enrollment ID: I20240202001016 |
Hackley Community Care Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 E Laketon Ave Ste A, Muskegon, MI 49441 Phone: 231-737-1335 | |
Hackley Weight Management Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5969 Harvey St, Muskegon, MI 49444 Phone: 231-798-1662 Fax: 231-798-8262 | |
Hpcn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 986 W Norton Ave, Muskegon, MI 49441 Phone: 231-737-2194 Fax: 231-737-4524 | |
Hackley Hosp Wound Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Clinton St, Muskegon, MI 49442 Phone: 231-728-5667 Fax: 231-728-5954 | |
Oakridge Lower Elementary School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N Park St Ste A, Muskegon, MI 49442 Phone: 231-788-7600 | |
Trinity Health Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1560 E Sherman Blvd Ste 250, Muskegon, MI 49444 Phone: 231-675-8145 Fax: 231-672-6179 |