Physician Clinic Of Charlevoix - Medicare Primary Care in Charlevoix, MI

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Physician Clinic Of Charlevoix is a medicare enrolled primary clinic (Pediatrics) in Charlevoix, Michigan. The current practice location for Physician Clinic Of Charlevoix is 14709 W. Upright Street, Charlevoix, Michigan. For appointments, you can reach them via phone at (231) 547-6519. The mailing address for Physician Clinic Of Charlevoix is 14709 W. Upright Street, Charlevoix, Michigan and phone number is (231) 547-6519.

Physician Clinic Of Charlevoix is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1326124058. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (231) 547-6519.

Contact Information

Physician Clinic Of Charlevoix
14709 W. Upright Street
Charlevoix
MI 49720-1949
(231) 547-6519
(231) 547-5404

Map and Direction


Primary Care Clinic Profile

Full NamePhysician Clinic Of Charlevoix
SpecialityPediatrics
Location14709 W. Upright Street, Charlevoix, Michigan
Authorized Official Name and PositionBonnie Kruszka (COO MUNSON PHYSICIAN NETWORK)
Authorized Official Contact2319354995
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Physician Clinic Of Charlevoix
14709 W. Upright Street
Charlevoix
MI 49720-1949

Ph: (231) 547-6519		Physician Clinic Of Charlevoix
14709 W. Upright Street
Charlevoix
MI 49720-1949

Ph: (231) 547-6519

NPI Details:

NPI Number1326124058
Provider Enumeration Date10/27/2006
Last Update Date10/02/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4284528035
Medicare Enrollment IDO20040211001170

Medical Identifiers

Medical identifiers for Physician Clinic Of Charlevoix such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326124058NPI-NPPES
0A51041OtherMIBLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Michigan)Secondary
207R00000XInternal Medicine (Michigan)Secondary
208000000XPediatrics (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Physician Clinic Of Charlevoix acts as a billing entity for following providers:
Provider NameChristina Dalton Pryde
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1033103874
PECOS PAC ID: 9638068125
Enrollment ID: I20040312000648
Provider NameJames M Fox
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1740275379
PECOS PAC ID: 9931198520
Enrollment ID: I20040510000215
Provider NameEdward E Newcomb
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750373437
PECOS PAC ID: 2062448673
Enrollment ID: I20050714000965
Provider NameBrian D Heeringa
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1497789010
PECOS PAC ID: 1759311475
Enrollment ID: I20050812000658
Provider NameThomas G Ling
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1528065034
PECOS PAC ID: 2860461043
Enrollment ID: I20051215000481
Provider NameWilliam J Mcgowan
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1184636276
PECOS PAC ID: 8628092061
Enrollment ID: I20060124000706
Provider NameBethany M Mckinley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1821056219
PECOS PAC ID: 8628083847
Enrollment ID: I20060209000239
Provider NameAnne Hepner
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1023003738
PECOS PAC ID: 4284649419
Enrollment ID: I20060209000320
Provider NameDino Recchia
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1992790547
PECOS PAC ID: 9739178310
Enrollment ID: I20060209000556
Provider NameNathan Craig Boss
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1699794958
PECOS PAC ID: 0042216483
Enrollment ID: I20061009000138
Provider NameLisa Allred
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386716223
PECOS PAC ID: 0042219149
Enrollment ID: I20061219000510
Provider NameSteven Mast
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1174522429
PECOS PAC ID: 7214987700
Enrollment ID: I20070713000674
Provider NameRoger K Gerstle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285792754
PECOS PAC ID: 3870693260
Enrollment ID: I20070713000768
Provider NameMichael Scott Morey
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851353916
PECOS PAC ID: 5395837033
Enrollment ID: I20070824000848
Provider NameSandra F Gibbs
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770684136
PECOS PAC ID: 3072601566
Enrollment ID: I20071116000379
Provider NameDale D Owen
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1295803138
PECOS PAC ID: 5890876114
Enrollment ID: I20080112000141
Provider NameJennifer Lynn Daniel
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1366639387
PECOS PAC ID: 5193806818
Enrollment ID: I20080118000297
Provider NameChristy L Baginski
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1265617278
PECOS PAC ID: 7113004110
Enrollment ID: I20080401000543
Provider NameAnna M Booher
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1205954765
PECOS PAC ID: 9335226729
Enrollment ID: I20080409000635
Provider NameLois Neering
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215108584
PECOS PAC ID: 3476632555
Enrollment ID: I20080430000460
Provider NameAnthony B Ochoa
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1720060395
PECOS PAC ID: 7911073945
Enrollment ID: I20080829000559
Provider NameTodd R Adams
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1144433277
PECOS PAC ID: 5193876886
Enrollment ID: I20090618000721
Provider NameDenise L Montgomery
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922252618
PECOS PAC ID: 1759420243
Enrollment ID: I20091123000051
Provider NameMichael H Stargardt
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1184884835
PECOS PAC ID: 3476681271
Enrollment ID: I20100517000077
Provider NameDarcie Sharapova
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487800959
PECOS PAC ID: 9335217439
Enrollment ID: I20100805000241
Provider NameAnna G Young
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376534495
PECOS PAC ID: 4789718164
Enrollment ID: I20100820000477
Provider NameJennifer L Simons
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1679894117
PECOS PAC ID: 0042402133
Enrollment ID: I20101007000798
Provider NameNicklaus K Slocum
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1295873388
PECOS PAC ID: 3375739097
Enrollment ID: I20101119001207
Provider NameJean Mcdonough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295035244
PECOS PAC ID: 1052509015
Enrollment ID: I20101217000629
Provider NameLori A Katzman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1467516476
PECOS PAC ID: 9931397510
Enrollment ID: I20101223000273
Provider NameScott Stone
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1013233360
PECOS PAC ID: 8527199181
Enrollment ID: I20110328000632
Provider NameValda L Byrd
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1760489561
PECOS PAC ID: 1850563594
Enrollment ID: I20110930000482
Provider NameRobert O Kennedy
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1457485948
PECOS PAC ID: 9638326994
Enrollment ID: I20120822000314
Provider NameAndrew J Riddle
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1215059670
PECOS PAC ID: 8527219286
Enrollment ID: I20121107000119
Provider NameMichael J Lucido
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1760623433
PECOS PAC ID: 2466686209
Enrollment ID: I20131009001404
Provider NameJennifer R Wedge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699894592
PECOS PAC ID: 2567689276
Enrollment ID: I20140804001102
Provider NameGregory J Mcbride
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1134440845
PECOS PAC ID: 5698087237
Enrollment ID: I20150709002718
Provider NameGlen Macpherson
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1467429050
PECOS PAC ID: 0446387252
Enrollment ID: I20150806011036
Provider NameScott T Maurer
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1760437891
PECOS PAC ID: 2062663115
Enrollment ID: I20160208000889
Provider NameAlan G Smith
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1376908863
PECOS PAC ID: 5092011445
Enrollment ID: I20160310000647
Provider NameChris Loewen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114368321
PECOS PAC ID: 6800030701
Enrollment ID: I20160722002380
Provider NameMatthew G Arnold
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376854653
PECOS PAC ID: 8426344185
Enrollment ID: I20160906001272
Provider NameKelly R Donovan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215373451
PECOS PAC ID: 7012203649
Enrollment ID: I20160908001375
Provider NameBenjamin Joseph Edwards
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548606916
PECOS PAC ID: 8426299827
Enrollment ID: I20160926000062
Provider NameEdward Kraska
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396106266
PECOS PAC ID: 6103105200
Enrollment ID: I20161114000137
Provider NameJennifer G Emmons
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1932549086
PECOS PAC ID: 1153640859
Enrollment ID: I20170613001968
Provider NameNicholas S Riehl
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1194268656
PECOS PAC ID: 3375811359
Enrollment ID: I20170615000954
Provider NameMegan Coggon
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1730594573
PECOS PAC ID: 0840560827
Enrollment ID: I20170725000089
Provider NameChristopher Michael Archangeli
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972948602
PECOS PAC ID: 3971898222
Enrollment ID: I20180702002397
Provider NameMolly A Britton
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1891113148
PECOS PAC ID: 8921321290
Enrollment ID: I20180711000432
Provider NameAnnabelle K Dampier
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1164785614
PECOS PAC ID: 5193038966
Enrollment ID: I20180725000317
Provider NameGeorgia Olga Pozios
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013449859
PECOS PAC ID: 4486997863
Enrollment ID: I20190529000516
Provider NamePhoebe Day Danziger
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669885125
PECOS PAC ID: 4183931165
Enrollment ID: I20190912000243
Provider NameLindsey Marie Ranstadler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033674072
PECOS PAC ID: 3375970114
Enrollment ID: I20200217004268
Provider NameKarie Lynn Llewellyn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942763164
PECOS PAC ID: 7618304478
Enrollment ID: I20200218000654
Provider NameAlexis R Stevens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235624396
PECOS PAC ID: 9133558976
Enrollment ID: I20200331000599
Provider NameStacy Moniz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740819499
PECOS PAC ID: 7719391549
Enrollment ID: I20210205001333
Provider NameJonathan Bickmann
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164061594
PECOS PAC ID: 9537597539
Enrollment ID: I20210603001852
Provider NameMichael Opperman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1427554310
PECOS PAC ID: 9234484569
Enrollment ID: I20220526001060
Provider NameJennifer Armstrong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447866330
PECOS PAC ID: 1759764533
Enrollment ID: I20220811000159
Provider NameMadeline Jeakle Nemes
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972254134
PECOS PAC ID: 7113395021
Enrollment ID: I20221128001587
Provider NameMark L Vanderweide
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225758824
PECOS PAC ID: 0941673115
Enrollment ID: I20230309000351
Provider NameAshleigh Kay Catton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720705940
PECOS PAC ID: 2769856145
Enrollment ID: I20230327000981
Provider NameStephanie Lee Mccarthy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699419960
PECOS PAC ID: 8123493558
Enrollment ID: I20230417001256
Provider NameLauren Osbeck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588370076
PECOS PAC ID: 6901267541
Enrollment ID: I20230731001245
Provider NameLindsay A Baskerville
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225799752
PECOS PAC ID: 3173916384
Enrollment ID: I20230926000198
Provider NameJoseph Howells
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1861837304
PECOS PAC ID: 1052533684
Enrollment ID: I20231215003126
Provider NameBenjamin P Roose
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1609286509
PECOS PAC ID: 6800012253
Enrollment ID: I20240208002610
Provider NameJessica Anne Peacock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952886400
PECOS PAC ID: 4385082098
Enrollment ID: I20240401001131

Reviews and Comments


Pediatrics in Charlevoix, MI

Mark W Smith Md Plc Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 14705 W Upright St, Charlevoix, MI 49720
Phone: 231-547-6510    Fax: 231-547-7456
Mclaren Central Michigan
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1404 Bridge St, Charlevoix, MI 49720
Phone: 231-487-2490    
Munson Healthcare Charlevoix Hospital
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 14719 W Upright St, Charlevoix, MI 49720
Phone: 231-547-3840    Fax: 231-547-8648
Samaritan Health Care, Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5916 Us Highway 31 S, Charlevoix, MI 49720
Phone: 616-225-0202    Fax: 616-225-0207
James A Gels Md Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 14730 Park Ave, Charlevoix, MI 49720
Phone: 231-547-4439    Fax: 231-547-0069
Munson Healthcare Charlevoix Primary Care
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 14734 Park Ave, Charlevoix, MI 49720
Phone: 231-547-6554    Fax: 231-547-1179

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.