| Redimed | |
|
4175 N Euclid Ave Suite 3 Bay City MI 48706-2483 | |
| (989) 667-0491 | |
| (989) 667-0493 |
| Full Name | Redimed |
|---|---|
| Speciality | Family Medicine |
| Location | 4175 N Euclid Ave, Bay City, 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 |
|---|---|
| Redimed 4175 N Euclid Ave Suite 3 Bay City MI 48706-2483 Ph: (989) 667-0491 | Redimed 4175 N Euclid Ave Suite 3 Bay City MI 48706-2483 Ph: (989) 667-0491 |
| NPI Number | 1366488728 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 07/31/2020 |
| Medicare PECOS PAC ID | 8628040680 |
|---|---|
| Medicare Enrollment ID | O20040810000828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366488728 | NPI | - | NPPES |
| 114601967 | Medicaid | MI | |
| CH5156 | Other | RAILROAD MEDICARE | |
| 115189275 | Medicaid | MI | |
| 1007493 | Other | MCLAREN | |
| 0Z96017 | Other | MI | BCBS |
| 0Z96017 | Other | MI | MEDICARE PTAN |
| 112791147 | Medicaid | MI | |
| 113512728 | Medicaid | MI | |
| 700Z910470 | Other | MI | BLUE CARE NETWORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Ronald L Koehler |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1104857978 PECOS PAC ID: 2062484033 Enrollment ID: I20060127000659 |
| Provider Name | Patricia M Gable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457320988 PECOS PAC ID: 9032124532 Enrollment ID: I20060220000243 |
| Provider Name | Charles E Kerr |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568495406 PECOS PAC ID: 0345212312 Enrollment ID: I20080408000417 |
| Provider Name | Jose C Magno |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770520926 PECOS PAC ID: 8820147358 Enrollment ID: I20090512000584 |
| Provider Name | Louis J Riccardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174837397 PECOS PAC ID: 2769636596 Enrollment ID: I20130204000083 |
| Provider Name | Jodi Wojciechowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720318553 PECOS PAC ID: 2769622646 Enrollment ID: I20130717000825 |
| Provider Name | Shawn E Bunch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851584494 PECOS PAC ID: 2062576523 Enrollment ID: I20140220001104 |
| Provider Name | Melanie L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508315409 PECOS PAC ID: 7719268135 Enrollment ID: I20161227000102 |
| Provider Name | Christine Boven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093205817 PECOS PAC ID: 7517222375 Enrollment ID: I20180525000995 |
| Provider Name | Charles Keith Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497085963 PECOS PAC ID: 0648524512 Enrollment ID: I20181112002053 |
| Provider Name | Samuel R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184038812 PECOS PAC ID: 6103051966 Enrollment ID: I20190829001310 |
| Provider Name | Jennifer Datzko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568005569 PECOS PAC ID: 3870825326 Enrollment ID: I20191101001381 |
Revan Maragiri Md Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3720 Katalin Ct, Bay City, MI 48706 Phone: 989-415-0358 | |
Bay Area Health Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3720 Katalin Ct, Bay City, MI 48706 Phone: 989-686-2800 | |
Mclaren Healthcare Bay Region Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Columbus Ave, Bay City, MI 48708 Phone: 989-759-6457 Fax: 989-759-6429 | |
Charlotte Yang, Md, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4817 W Professional Dr, Bay City, MI 48706 Phone: 989-667-6780 Fax: 989-667-6712 | |
Kerr Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1601 Marquette St Ste 6, Bay City, MI 48706 Phone: 989-667-0561 Fax: 989-667-0567 | |
Parveen Akhter Malik Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 N Euclid Ave, Bay City, MI 48706 Phone: 989-686-3760 Fax: 989-686-5615 | |
Mclaren Bay Region Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 S Trumbull St, Bay City, MI 48708 Phone: 989-893-7460 |