Pinconning Medical Center P.c. | |
204 W 3rd St Pinconning MI 48650-9622 | |
(989) 879-3771 | |
(989) 879-3788 |
Full Name | Pinconning Medical Center P.c. |
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Speciality | Family Medicine |
Location | 204 W 3rd St, Pinconning, Michigan |
Authorized Official Name and Position | William E Berner (CLINIC ADMINISTRATOR) |
Authorized Official Contact | 9898927722 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pinconning Medical Center P.c. 712 S Trumbull St Bay City MI 48708-4211 Ph: (899) 684-8183 | Pinconning Medical Center P.c. 204 W 3rd St Pinconning MI 48650-9622 Ph: (989) 879-3771 |
NPI Number | 1639116494 |
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Provider Enumeration Date | 06/01/2006 |
Last Update Date | 06/29/2021 |
Medicare PECOS PAC ID | 2365468352 |
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Medicare Enrollment ID | O20051019000458 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639116494 | NPI | - | NPPES |
1083930663 | Other | MI | NPI |
080Z910290 | Other | MI | BCBS |
1012455 | Other | MI | MCLAREN |
4279897 | Medicaid | MI | |
010Z900580 | Other | MI | BCBS GROUP |
0Z90058 | Other | MI | BCBS GROUP |
0Z90055 | Other | MI | BCBS PA GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (Michigan) | Secondary |
Provider Name | Gregory A Pinnell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841288693 PECOS PAC ID: 5890874655 Enrollment ID: I20080505000490 |
Provider Name | Nicholas J Orow |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396038972 PECOS PAC ID: 9638395130 Enrollment ID: I20140718000159 |
Provider Name | Jennifer Datzko |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568005569 PECOS PAC ID: 3870825326 Enrollment ID: I20191101001381 |
Brent J Raap Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4293 N Huron Road, Pinconning, MI 48650 Phone: 989-879-6244 Fax: 989-879-1092 |