| Optimed Healthcare Partners, Pllc | |
|
6480 Technology Ave Ste A Kalamazoo MI 49009-8126 | |
| (269) 250-8000 | |
| (269) 250-8020 |
| Full Name | Optimed Healthcare Partners, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 6480 Technology Ave Ste A, Kalamazoo, Michigan |
| Authorized Official Name and Position | Andrew J Reeves (REGISTERED AGENT) |
| Authorized Official Contact | 2692508018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimed Healthcare Partners, Pllc 6480 Technology Ave Ste A Kalamazoo MI 49009-8126 Ph: (269) 250-8000 | Optimed Healthcare Partners, Pllc 6480 Technology Ave Ste A Kalamazoo MI 49009-8126 Ph: (269) 250-8000 |
| NPI Number | 1538840780 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Medicare PECOS PAC ID | 6305283011 |
|---|---|
| Medicare Enrollment ID | O20240318001092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538840780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Michael Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457932337 PECOS PAC ID: 5890194401 Enrollment ID: I20220919000980 |
| Provider Name | Peter J Farago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942452552 PECOS PAC ID: 3476840141 Enrollment ID: I20240405000378 |
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