Orion Family Physicians Pc | |
1455 S Lapeer Rd Suite 100 Lake Orion MI 48360-1467 | |
(248) 693-3551 | |
(248) 693-4643 |
Full Name | Orion Family Physicians Pc |
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Speciality | Family Medicine |
Location | 1455 S Lapeer Rd, Lake Orion, Michigan |
Authorized Official Name and Position | Carl Sarnacki (ADMIN PHY) |
Authorized Official Contact | 2486933551 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Orion Family Physicians Pc 1455 S Lapeer Rd Suite 100 Lake Orion MI 48360-1467 Ph: (248) 693-3551 | Orion Family Physicians Pc 1455 S Lapeer Rd Suite 100 Lake Orion MI 48360-1467 Ph: (248) 693-3551 |
NPI Number | 1578627816 |
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Provider Enumeration Date | 12/21/2006 |
Last Update Date | 04/14/2009 |
Medicare PECOS PAC ID | 0143212712 |
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Medicare Enrollment ID | O20040401001657 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578627816 | NPI | - | NPPES |
DF5209 | Other | MI | RAILROAD MEDICARE GROUP |
080F319450 | Other | MI | BC GROUP |
080F319450 | Other | MI | BCN GROUP |
614116600 | Other | MI | DEPT OF LABOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301055099 (Michigan) | Primary |
Provider Name | Carl C Sarnacki |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063498319 PECOS PAC ID: 6800888488 Enrollment ID: I20050722000442 |
Provider Name | Erik D Zuckerberg |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1851455125 PECOS PAC ID: 3375570104 Enrollment ID: I20050722000484 |
Provider Name | Sandra Ann Golden |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528033594 PECOS PAC ID: 8921027756 Enrollment ID: I20051122000056 |
Provider Name | Shree D Kilaru |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831290253 PECOS PAC ID: 8729158449 Enrollment ID: I20080605000874 |
Provider Name | Jennifer M Prohow |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750418059 PECOS PAC ID: 1355416587 Enrollment ID: I20080821000541 |
Provider Name | Cheryl R Ledesma |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972857340 PECOS PAC ID: 3678718467 Enrollment ID: I20130327000268 |
Provider Name | Lindsay A Prusakiewicz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922431642 PECOS PAC ID: 2163659103 Enrollment ID: I20131218000772 |
Provider Name | Brittany Anne Shamoun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053848614 PECOS PAC ID: 6608140207 Enrollment ID: I20170920003098 |
Provider Name | William Teeple |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326555764 PECOS PAC ID: 2668731571 Enrollment ID: I20180123002240 |
Provider Name | Kirk Allen Deherder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871181875 PECOS PAC ID: 8325454929 Enrollment ID: I20210305001170 |
Provider Name | Ashley Kathryn Aragona |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396241402 PECOS PAC ID: 5294139713 Enrollment ID: I20210805002170 |
Provider Name | Rachel Elise Doyle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982327847 PECOS PAC ID: 6103292123 Enrollment ID: I20221017001751 |
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