| Midland Family Physicians Pc | |
|
920 West Wackerly Street Midland MI 48640-2700 | |
| (989) 839-9937 | |
| (989) 839-9220 |
| Full Name | Midland Family Physicians Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 920 West Wackerly Street, Midland, Michigan |
| Authorized Official Name and Position | Nancy Davis (ADMINISTRATOR) |
| Authorized Official Contact | 9898399937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland Family Physicians Pc 920 West Wackerly Street Midland MI 48640-2700 Ph: (989) 839-9937 | Midland Family Physicians Pc 920 West Wackerly Street Midland MI 48640-2700 Ph: (989) 839-9937 |
| NPI Number | 1386737815 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 10/23/2012 |
| Medicare PECOS PAC ID | 4385547751 |
|---|---|
| Medicare Enrollment ID | O20040202000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386737815 | NPI | - | NPPES |
| 080E660120 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffery T Archbold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184656159 PECOS PAC ID: 4880745827 Enrollment ID: I20090702000099 |
| Provider Name | Mark Steven Ostahowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184719601 PECOS PAC ID: 2163325531 Enrollment ID: I20101116000147 |
| Provider Name | Jennifer R Aloff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013001437 PECOS PAC ID: 4587859541 Enrollment ID: I20101116000691 |
| Provider Name | Heather L Duby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477835684 PECOS PAC ID: 5991967598 Enrollment ID: I20120426000581 |
| Provider Name | Marcy Binford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629479498 PECOS PAC ID: 9638399876 Enrollment ID: I20141009002235 |
| Provider Name | Denise K Schaffert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063810653 PECOS PAC ID: 5294050720 Enrollment ID: I20150204001438 |
| Provider Name | Jodie M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609304187 PECOS PAC ID: 4082982459 Enrollment ID: I20170608001449 |
| Provider Name | Jennifer Azelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124583158 PECOS PAC ID: 9931441755 Enrollment ID: I20230315002684 |
| Provider Name | Alexis J Helwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518653724 PECOS PAC ID: 5799140414 Enrollment ID: I20230503000599 |
| Provider Name | Molly Marie Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972172054 PECOS PAC ID: 3072977768 Enrollment ID: I20230913004088 |
| Provider Name | Melanie Odeleye |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1184988255 PECOS PAC ID: 0244474633 Enrollment ID: I20231002002678 |
| Provider Name | Stacey Elizabeth Ugartechea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124807136 PECOS PAC ID: 4082064845 Enrollment ID: I20231220002568 |
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