| Pamela J. Hackl, D.o., Plc | |
|
7443 Jackman Rd Temperance MI 48182-9223 | |
| (734) 850-0100 | |
| (734) 850-0112 |
| Full Name | Pamela J. Hackl, D.o., Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 7443 Jackman Rd, Temperance, Michigan |
| Authorized Official Name and Position | Pamela J. Hackl (OWNER) |
| Authorized Official Contact | 7348500100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela J. Hackl, D.o., Plc 7443 Jackman Rd Temperance MI 48182-9223 Ph: (734) 850-0100 | Pamela J. Hackl, D.o., Plc 7443 Jackman Rd Temperance MI 48182-9223 Ph: (734) 850-0100 |
| NPI Number | 1306030036 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 06/13/2022 |
| Medicare PECOS PAC ID | 8224073689 |
|---|---|
| Medicare Enrollment ID | O20050627000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306030036 | NPI | - | NPPES |
| DF9366 | Other | OH | RAILROAD MEDICARE |
| 2868704 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101011928 (Michigan) | Primary |
| Provider Name | Pamela J Hackl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134125024 PECOS PAC ID: 1254238637 Enrollment ID: I20031215000417 |
| Provider Name | Bradley S Ruch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700336781 PECOS PAC ID: 4385924406 Enrollment ID: I20161207001750 |
| Provider Name | Liza Whitacre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922592369 PECOS PAC ID: 0648520429 Enrollment ID: I20180829003121 |
| Provider Name | Randy A Pierce |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578981932 PECOS PAC ID: 6507175320 Enrollment ID: I20190606002191 |
| Provider Name | Kristi Lorenc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043686710 PECOS PAC ID: 9638488810 Enrollment ID: I20210819001665 |
| Provider Name | Nicole Hauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790423887 PECOS PAC ID: 8224406442 Enrollment ID: I20221119000071 |
Family Medical Center Of Michigan,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8405 Jackman Rd Rm 15, Temperance, MI 48182 Phone: 734-847-3802 Fax: 734-850-0520 | |
Mark T. Snyder M.d. Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8967 Lewis Ave, Temperance, MI 48182 Phone: 734-224-7900 Fax: 734-224-7912 | |
Family Medical Center Of Michigan,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8008 Jackman Rd, Temperance, MI 48182 Phone: 734-847-3802 | |
Family Medical Center Of Michigan,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-847-3802 Fax: 734-850-0520 | |
Family Medical Center Of Michigan, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-847-3802 Fax: 734-850-0520 | |
Rs Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7980 Lewis Ave, Temperance, MI 48182 Phone: 734-847-3131 Fax: 734-847-4251 |