Otsego Memorial Hospital Rural Health Clinic | |
829 N Center Ave Gaylord MI 49735 | |
(989) 731-7708 | |
(989) 731-7929 |
Full Name | Otsego Memorial Hospital Rural Health Clinic |
---|---|
Speciality | Clinic/Center |
Location | 829 N Center Ave, Gaylord, 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 |
---|---|
Otsego Memorial Hospital Rural Health Clinic 825 N Center Ave Gaylord MI 49735-1592 Ph: (989) 731-2100 | Otsego Memorial Hospital Rural Health Clinic 829 N Center Ave Gaylord MI 49735 Ph: (989) 731-7708 |
NPI Number | 1164628426 |
---|---|
Provider Enumeration Date | 06/25/2007 |
Last Update Date | 10/04/2024 |
Medicare PECOS PAC ID | 8325942535 |
---|---|
Medicare Enrollment ID | O20040305000525 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164628426 | NPI | - | NPPES |
23-8607 | Other | CMS CERTIFICATION NUMBER |
Provider Name | Ronald A Weisberger |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1518992064 PECOS PAC ID: 4486559309 Enrollment ID: I20031204000279 |
Provider Name | Kathleen M Pawlanta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225055833 PECOS PAC ID: 3173417763 Enrollment ID: I20040213000066 |
Provider Name | Craig S Mccardell |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1821072802 PECOS PAC ID: 6507842283 Enrollment ID: I20040624001130 |
Provider Name | Steven J Wisniewski |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104851658 PECOS PAC ID: 5294705752 Enrollment ID: I20040730000558 |
Provider Name | Carl F Schubert |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1023041274 PECOS PAC ID: 5193797314 Enrollment ID: I20040809001055 |
Provider Name | Diana L Novak |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1053362186 PECOS PAC ID: 1355319633 Enrollment ID: I20040923001003 |
Provider Name | Keith Y Miyamoto |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1609883842 PECOS PAC ID: 1759350978 Enrollment ID: I20040927000285 |
Provider Name | Louis S Habryl |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1427033976 PECOS PAC ID: 3476445156 Enrollment ID: I20050202000086 |
Provider Name | Khristine C Botezan |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1912954652 PECOS PAC ID: 7810949773 Enrollment ID: I20050218000492 |
Provider Name | Renae L Vaughn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518923093 PECOS PAC ID: 0749227924 Enrollment ID: I20050408000967 |
Provider Name | Lynne Mccormick |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1194779983 PECOS PAC ID: 5496790917 Enrollment ID: I20050624000880 |
Provider Name | James F Rosenbaum |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1225003148 PECOS PAC ID: 2264338383 Enrollment ID: I20060505000287 |
Provider Name | Gilbert A Noirot |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1508867490 PECOS PAC ID: 0941212534 Enrollment ID: I20060623000078 |
Provider Name | Peter Mcandrews |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1396784013 PECOS PAC ID: 1456378959 Enrollment ID: I20060713000322 |
Provider Name | Suzanne A Law |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1093796476 PECOS PAC ID: 0042233470 Enrollment ID: I20061113000123 |
Provider Name | Lisa Allred |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1386716223 PECOS PAC ID: 0042219149 Enrollment ID: I20061219000510 |
Provider Name | Medina H Gregory |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1548481716 PECOS PAC ID: 8123128584 Enrollment ID: I20070713000592 |
Provider Name | Roger K Gerstle |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285792754 PECOS PAC ID: 3870693260 Enrollment ID: I20070713000768 |
Provider Name | John D Moffat |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1053373118 PECOS PAC ID: 4385684257 Enrollment ID: I20070927000713 |
Provider Name | Lori F Schiller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952474512 PECOS PAC ID: 4587759832 Enrollment ID: I20071001000715 |
Provider Name | Kristin S Maschke |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992778807 PECOS PAC ID: 7810069564 Enrollment ID: I20080711000598 |
Provider Name | Wayne A Fuller |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1952390700 PECOS PAC ID: 7012060544 Enrollment ID: I20090807000213 |
Provider Name | Catherine Bluteau Stoddard |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1376756643 PECOS PAC ID: 5193879674 Enrollment ID: I20090818000535 |
Provider Name | David W Miner |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1700806882 PECOS PAC ID: 9739191214 Enrollment ID: I20091022000144 |
Provider Name | Janelle H Hendrian |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1972724037 PECOS PAC ID: 3577604081 Enrollment ID: I20100106000346 |
Provider Name | Changxin Li |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114958899 PECOS PAC ID: 5395888978 Enrollment ID: I20100204000347 |
Provider Name | Mary B Seger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518998772 PECOS PAC ID: 2264576354 Enrollment ID: I20100212000078 |
Provider Name | Jennifer A Atkins |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1518983006 PECOS PAC ID: 0042354763 Enrollment ID: I20100218000823 |
Provider Name | Marc E Lame |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1902833163 PECOS PAC ID: 7416841267 Enrollment ID: I20100308000025 |
Provider Name | Luis R Collazo |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1598754715 PECOS PAC ID: 1951436518 Enrollment ID: I20100322000229 |
Provider Name | Michael H Stargardt |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1184884835 PECOS PAC ID: 3476681271 Enrollment ID: I20100517000077 |
Provider Name | Michael H Florek |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750307443 PECOS PAC ID: 7012046204 Enrollment ID: I20100526000750 |
Provider Name | Timothy G Esser |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1659352235 PECOS PAC ID: 7214061050 Enrollment ID: I20100817000052 |
Provider Name | Joseph Cottingham Jameson |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1619974060 PECOS PAC ID: 6709980964 Enrollment ID: I20101109000735 |
Provider Name | Nathan A Mann |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811155112 PECOS PAC ID: 8325190671 Enrollment ID: I20110629000519 |
Provider Name | Margaret L Rorick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699771857 PECOS PAC ID: 4284803925 Enrollment ID: I20110812000662 |
Provider Name | Justin J Hollander |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1053538868 PECOS PAC ID: 0042489734 Enrollment ID: I20110815000573 |
Provider Name | David J Kurn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013153063 PECOS PAC ID: 0749477370 Enrollment ID: I20110914000693 |
Provider Name | Valda L Byrd |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1760489561 PECOS PAC ID: 1850563594 Enrollment ID: I20110930000482 |
Provider Name | Soo Young Hwang |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1891894689 PECOS PAC ID: 8921267659 Enrollment ID: I20120315000352 |
Provider Name | Brian H Ngo |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1174743348 PECOS PAC ID: 8921144007 Enrollment ID: I20120426000052 |
Provider Name | Matthew J Marquart |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1164610960 PECOS PAC ID: 8426227372 Enrollment ID: I20121018000314 |
Provider Name | Julie A Hodson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902150741 PECOS PAC ID: 0345493680 Enrollment ID: I20130116000485 |
Provider Name | Lisa A Stier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265774269 PECOS PAC ID: 1759522915 Enrollment ID: I20130730000952 |
Provider Name | Mariana L Perinot |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740591908 PECOS PAC ID: 0143462705 Enrollment ID: I20130809000552 |
Provider Name | Matthew A Mazur |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376719781 PECOS PAC ID: 0345311262 Enrollment ID: I20140226000393 |
Provider Name | Beth M Powers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811279789 PECOS PAC ID: 7315161940 Enrollment ID: I20140620001460 |
Provider Name | James R. Shurlow |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1437383023 PECOS PAC ID: 3375767916 Enrollment ID: I20140620001690 |
Provider Name | Jay M Ruddy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255756375 PECOS PAC ID: 2365662152 Enrollment ID: I20140929002232 |
Provider Name | Kristy J Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720417694 PECOS PAC ID: 5698903227 Enrollment ID: I20141022000462 |
Provider Name | Megan Kyna Spicer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114335106 PECOS PAC ID: 5294957130 Enrollment ID: I20141110001960 |
Provider Name | Jennifer L Lawhorn |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1952564213 PECOS PAC ID: 0143549238 Enrollment ID: I20150512002746 |
Provider Name | Sarah Ellen Stearns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598146516 PECOS PAC ID: 0244543718 Enrollment ID: I20150714000341 |
Provider Name | Stephanie Rutterbush |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649652298 PECOS PAC ID: 5890008528 Enrollment ID: I20150723007937 |
Provider Name | Eric B Lerche |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1225264005 PECOS PAC ID: 9436377645 Enrollment ID: I20150806010950 |
Provider Name | Glen Macpherson |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1467429050 PECOS PAC ID: 0446387252 Enrollment ID: I20150806011036 |
Provider Name | Joshua W Saur |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346655149 PECOS PAC ID: 7911217187 Enrollment ID: I20151030002114 |
Provider Name | Stephanie D Markle |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1992937403 PECOS PAC ID: 9931326196 Enrollment ID: I20160818000182 |
Provider Name | Matthew G Arnold |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1376854653 PECOS PAC ID: 8426344185 Enrollment ID: I20160906001272 |
Provider Name | Kelly R Donovan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215373451 PECOS PAC ID: 7012203649 Enrollment ID: I20160908001375 |
Provider Name | Mark Louis Passow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871908897 PECOS PAC ID: 7719273028 Enrollment ID: I20160913002713 |
Provider Name | Cortney B Casper |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1811331663 PECOS PAC ID: 4587947304 Enrollment ID: I20170711003427 |
Provider Name | Michael Donald Katona |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174043889 PECOS PAC ID: 6204109382 Enrollment ID: I20170912002269 |
Provider Name | Lauren Atkinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063925246 PECOS PAC ID: 4082971650 Enrollment ID: I20171207000058 |
Provider Name | Rose Mary Noetzel Spellman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154808418 PECOS PAC ID: 2567713860 Enrollment ID: I20180926001114 |
Provider Name | Matthew J Dubiel |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1114280898 PECOS PAC ID: 7911135256 Enrollment ID: I20181008001654 |
Provider Name | Thomas Kane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528548708 PECOS PAC ID: 8921114265 Enrollment ID: I20181011002416 |
Provider Name | Phoebe Day Danziger |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1669885125 PECOS PAC ID: 4183931165 Enrollment ID: I20190912000243 |
Provider Name | Heather L Bur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356892624 PECOS PAC ID: 0648509877 Enrollment ID: I20190912001984 |
Provider Name | Meghana Tipparthy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710337886 PECOS PAC ID: 0143513226 Enrollment ID: I20191015000453 |
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 | Amanda Radocy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750911434 PECOS PAC ID: 2961830526 Enrollment ID: I20200312001499 |
Provider Name | Alexis R Stevens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235624396 PECOS PAC ID: 9133558976 Enrollment ID: I20200331000599 |
Provider Name | Ashley Borowiak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295383008 PECOS PAC ID: 4981026788 Enrollment ID: I20200624002551 |
Provider Name | Lindsay Harden |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1578883609 PECOS PAC ID: 8123331311 Enrollment ID: I20200720001995 |
Provider Name | Patricia Lynn Kindsvater |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508398405 PECOS PAC ID: 2567736259 Enrollment ID: I20200813002222 |
Provider Name | Benjamin Vanos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508392614 PECOS PAC ID: 0941626337 Enrollment ID: I20200817000769 |
Provider Name | Stacey Sensor |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1588658579 PECOS PAC ID: 8224193016 Enrollment ID: I20201204000387 |
Provider Name | Jami Grosberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407474364 PECOS PAC ID: 5890107064 Enrollment ID: I20201211000355 |
Provider Name | Jennifer Erin Mcbride |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043767395 PECOS PAC ID: 8921386566 Enrollment ID: I20210615000735 |
Provider Name | Michael Vanwagner |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1639551559 PECOS PAC ID: 7810200797 Enrollment ID: I20210615001312 |
Provider Name | Paul K Reynolds |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1285095166 PECOS PAC ID: 2769774918 Enrollment ID: I20210913002034 |
Provider Name | Tabitha Carolin Pardo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548852130 PECOS PAC ID: 0143628974 Enrollment ID: I20211008002087 |
Provider Name | Vesna Sokolova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730431099 PECOS PAC ID: 2668863804 Enrollment ID: I20211227000571 |
Provider Name | Josephine Anne Vincent |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487257382 PECOS PAC ID: 5092100784 Enrollment ID: I20220316000229 |
Provider Name | Margaret Emily-pawlowski Bovee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649815366 PECOS PAC ID: 1355721465 Enrollment ID: I20220707001542 |
Provider Name | Jennifer Armstrong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447866330 PECOS PAC ID: 1759764533 Enrollment ID: I20220811000159 |
Provider Name | Carrie Lahaie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700524303 PECOS PAC ID: 1456735059 Enrollment ID: I20220831001553 |
Provider Name | Daniel B Machue |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891173662 PECOS PAC ID: 0941685556 Enrollment ID: I20220919001224 |
Provider Name | Emily N Mckerchie |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1366962128 PECOS PAC ID: 9638448491 Enrollment ID: I20221212000648 |
Provider Name | Ashleigh Kay Catton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720705940 PECOS PAC ID: 2769856145 Enrollment ID: I20230327000981 |
Provider Name | Alyssa Pechta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396443891 PECOS PAC ID: 1254706039 Enrollment ID: I20230410000215 |
Provider Name | Stephanie Lee Mccarthy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699419960 PECOS PAC ID: 8123493558 Enrollment ID: I20230417001256 |
Provider Name | Kaylyn Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700582673 PECOS PAC ID: 5991160400 Enrollment ID: I20230504001817 |
Provider Name | Lauren Osbeck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588370076 PECOS PAC ID: 6901267541 Enrollment ID: I20230731001245 |
Provider Name | Jordan Nester |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1689106270 PECOS PAC ID: 4688943897 Enrollment ID: I20230921003273 |
Provider Name | Jared L Davis |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1114459476 PECOS PAC ID: 6507135175 Enrollment ID: I20230922002257 |
Provider Name | Charles Hughes |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1669897492 PECOS PAC ID: 7810345295 Enrollment ID: I20231122003054 |
Provider Name | Anne Marie Bumbalough |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1508196510 PECOS PAC ID: 7315395712 Enrollment ID: I20231125000248 |
Provider Name | Marjorie Lee Beigle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164206637 PECOS PAC ID: 6709237258 Enrollment ID: I20240109001726 |
Provider Name | Benjamin P Roose |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1609286509 PECOS PAC ID: 6800012253 Enrollment ID: I20240208002610 |
Provider Name | Jessica Anne Peacock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952886400 PECOS PAC ID: 4385082098 Enrollment ID: I20240401001131 |
Provider Name | Melissa Mary Emerald Noa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295598035 PECOS PAC ID: 0648618710 Enrollment ID: I20240409001920 |
Munson Healthcare Omh Walk-in Clinic Rhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1996 Walden Dr, Gaylord, MI 49735 Phone: 989-731-4111 Fax: 989-705-8511 | |
Pine Trees Medical Office, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 W Main St, Ste B, Gaylord, MI 49735 Phone: 989-448-2900 | |
Alpine Family Medicine Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 652 N Otsego Ave, Gaylord, MI 49735 Phone: 989-732-3529 Fax: 989-732-7865 | |
Donald P. Cousineau Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 994 N Center Ave, Gaylord, MI 49735 Phone: 989-732-7843 Fax: 989-731-4513 | |
Purehealth Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1723 W M 32 Ste B, Gaylord, MI 49735 Phone: 248-238-3666 | |
Gaylord Family Practice Associates Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1320 E M 32, Gaylord, MI 49735 Phone: 989-731-5092 Fax: 989-731-7639 |