Prescott Clinic P.c. | |
125 Washington Prescott MI 48756 | |
(989) 873-3352 | |
(989) 873-3949 |
Full Name | Prescott Clinic P.c. |
---|---|
Speciality | Clinic/Center |
Location | 125 Washington, Prescott, 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 |
---|---|
Prescott Clinic P.c. 125 N Washington St Po Box 114 Prescott MI 48756-5117 Ph: (989) 892-7722 | Prescott Clinic P.c. 125 Washington Prescott MI 48756 Ph: (989) 873-3352 |
NPI Number | 1881622835 |
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Provider Enumeration Date | 06/29/2006 |
Last Update Date | 08/15/2018 |
Medicare PECOS PAC ID | 0244147171 |
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Medicare Enrollment ID | O20081121000527 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881622835 | NPI | - | NPPES |
233873 | Other | RIVERBEND | |
010F510190 | Other | MI | BCBS |
114303974 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Michigan) | Primary |
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 |
Provider Name | Melinda L Hawley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326649617 PECOS PAC ID: 8628481231 Enrollment ID: I20201228001431 |
Prescott Clinic P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Washington St, Prescott, MI 48756 Phone: 989-873-3352 Fax: 989-873-3949 | |
Ogemaw Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1827 Greenwood Rd, Prescott, MI 48756 Phone: 989-873-6200 Fax: 989-873-5563 |