| Pokagon Health Service | |
|
32652 Kno Drive Dowagiac MI 49047-0180 | |
| (269) 782-4141 | |
| (269) 783-1236 |
| Full Name | Pokagon Health Service |
|---|---|
| Speciality | Clinic/Center |
| Location | 32652 Kno Drive, Dowagiac, Michigan |
| Authorized Official Name and Position | Priscilla Gatties (DIRECTOR OF HEALTH SERVICES) |
| Authorized Official Contact | 2697824141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pokagon Health Service Po Box 180 Dowagiac MI 49047-0180 Ph: (269) 782-4141 | Pokagon Health Service 32652 Kno Drive Dowagiac MI 49047-0180 Ph: (269) 782-4141 |
| NPI Number | 1497833271 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 01/11/2021 |
| Medicare PECOS PAC ID | 3476455445 |
|---|---|
| Medicare Enrollment ID | O20040121001135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497833271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Patricia Ann Moore |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144229246 PECOS PAC ID: 6002930419 Enrollment ID: I20120914000456 |
| Provider Name | Gerald W Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508187352 PECOS PAC ID: 1355596602 Enrollment ID: I20140721000337 |
| Provider Name | Michelle M Cockey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437425311 PECOS PAC ID: 4284898388 Enrollment ID: I20141018000189 |
| Provider Name | Cynthia J Grate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902842149 PECOS PAC ID: 9931127677 Enrollment ID: I20141103000099 |
| Provider Name | Marcy H Herbert |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912997289 PECOS PAC ID: 4688990203 Enrollment ID: I20150226000046 |
| Provider Name | Melody Hulitt-pillow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467832956 PECOS PAC ID: 5799099347 Enrollment ID: I20150728003198 |
| Provider Name | Laura Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568466415 PECOS PAC ID: 6406164839 Enrollment ID: I20151003000006 |
| Provider Name | Patrick Loughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730217308 PECOS PAC ID: 9638267578 Enrollment ID: I20160624001793 |
| Provider Name | Eric Chamberlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407911746 PECOS PAC ID: 4284914045 Enrollment ID: I20161213001897 |
| Provider Name | Emily Sossoman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750829784 PECOS PAC ID: 6608150966 Enrollment ID: I20170306000200 |
| Provider Name | Marcy Parisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326460924 PECOS PAC ID: 9739311788 Enrollment ID: I20171109001636 |
| Provider Name | Sacheen Shrestha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669622197 PECOS PAC ID: 7214109933 Enrollment ID: I20180221002732 |
| Provider Name | Joo-youn Yi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982905519 PECOS PAC ID: 2163742503 Enrollment ID: I20181030002344 |
| Provider Name | Samya Hawley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336351048 PECOS PAC ID: 0042515538 Enrollment ID: I20190801000466 |
| Provider Name | Andrew A Dehaven |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093764292 PECOS PAC ID: 5991953713 Enrollment ID: I20191024002241 |
| Provider Name | Brian D Hoffman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659456010 PECOS PAC ID: 0244415206 Enrollment ID: I20210211000925 |
| Provider Name | Jerry White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336359017 PECOS PAC ID: 9032296363 Enrollment ID: I20210326000180 |
| Provider Name | Richard Kuehne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801847504 PECOS PAC ID: 7911918412 Enrollment ID: I20210708002350 |
| Provider Name | Delphine Colar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508357690 PECOS PAC ID: 2769733245 Enrollment ID: I20210825002673 |
| Provider Name | Stacy Marie Young |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295264448 PECOS PAC ID: 0042669277 Enrollment ID: I20231213000103 |
| Provider Name | Jennifer Ervin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184965410 PECOS PAC ID: 3274982376 Enrollment ID: I20231214003014 |
| Provider Name | Megan Susanne Spencer |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1457972499 PECOS PAC ID: 6305277310 Enrollment ID: I20231219001730 |
| Provider Name | Gregory S Wallin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790070803 PECOS PAC ID: 1355568171 Enrollment ID: I20240207001232 |
| Provider Name | Misty Rae Ledesma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154959591 PECOS PAC ID: 4587085329 Enrollment ID: I20240326003848 |
Borgess Lee Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W Division St, Dowagiac, MI 49047 Phone: 269-782-2111 | |
Borgess Lee Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Main St Ste C, Dowagiac, MI 49047 Phone: 269-783-2080 | |
Borgess Lee Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W High St, Dowagiac, MI 49047 Phone: 269-782-9200 | |
Lakeland Community Hospital Watervliet Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Main St, Dowagiac, MI 49047 Phone: 269-390-0536 | |
Borgess Lee Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 W. High Street, Dowagiac, MI 49047 Phone: 269-783-3052 | |
Boonchoo Chang M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 W High St, Dowagiac, MI 49047 Phone: 269-782-7150 Fax: 269-782-7020 | |
Michiana Medical-surgical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Main St, Dowagiac, MI 49047 Phone: 269-782-2273 Fax: 269-782-6682 |