| Petoskey Family Medicine, P.c. | |
|
1890 Us 131 South Suite 3 Petoskey MI 49770 | |
| (231) 487-6000 | |
| (231) 487-6014 |
| Full Name | Petoskey Family Medicine, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1890 Us 131 South, Petoskey, Michigan |
| Authorized Official Name and Position | Teresa Marie Whitley (BUSINESS MANAGER) |
| Authorized Official Contact | 2314876000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Petoskey Family Medicine, P.c. 1890 Us 131 South Suite 3 Petoskey MI 49770 Ph: (231) 487-6000 | Petoskey Family Medicine, P.c. 1890 Us 131 South Suite 3 Petoskey MI 49770 Ph: (231) 487-6000 |
| NPI Number | 1457475550 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8022150556 |
|---|---|
| Medicare Enrollment ID | O20100122000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457475550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Scott Allen Hotchkiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518146257 PECOS PAC ID: 6103968631 Enrollment ID: I20101006000846 |
| Provider Name | Samuel F Minor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356520084 PECOS PAC ID: 7012059546 Enrollment ID: I20110114001089 |
| Provider Name | Susan Marie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417071614 PECOS PAC ID: 7315170552 Enrollment ID: I20140424000152 |
Petoskey Family Medicine P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1890 S Us 131, Suite 3, Petoskey, MI 49770 Phone: 231-487-6000 Fax: 231-487-6014 | |
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