| Revolution Health Pc | |
|
104 S Lakeview Ave Sturgis MI 49091-1947 | |
| (269) 319-8850 | |
| (269) 464-0101 |
| Full Name | Revolution Health Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 S Lakeview Ave, Sturgis, Michigan |
| Authorized Official Name and Position | Steven John Klingler (OFFICE MANAGER) |
| Authorized Official Contact | 2697161890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolution Health Pc 104 S Lakeview Ave Sturgis MI 49091-1947 Ph: (269) 319-8850 | Revolution Health Pc 104 S Lakeview Ave Sturgis MI 49091-1947 Ph: (269) 319-8850 |
| NPI Number | 1366091670 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 09/09/2019 |
| Medicare PECOS PAC ID | 2264865633 |
|---|---|
| Medicare Enrollment ID | O20191126001789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366091670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Amy M Hackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558327049 PECOS PAC ID: 6901879394 Enrollment ID: I20040813001149 |
| Provider Name | Traci J Van Gorden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679513451 PECOS PAC ID: 2163434481 Enrollment ID: I20060630000275 |
| Provider Name | Jade Lindsay Klingler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942636832 PECOS PAC ID: 7517195571 Enrollment ID: I20140121000565 |
| Provider Name | Isaac S Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902454275 PECOS PAC ID: 4789017997 Enrollment ID: I20191202001856 |
| Provider Name | Laura Nicole Rysso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093156010 PECOS PAC ID: 7810131521 Enrollment ID: I20201014002633 |
| Provider Name | Sharon Ann Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518537208 PECOS PAC ID: 8729485610 Enrollment ID: I20210920001762 |
| Provider Name | Sarah Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043982853 PECOS PAC ID: 0244628915 Enrollment ID: I20211029000120 |
| Provider Name | Michael Adam Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588317432 PECOS PAC ID: 2860885845 Enrollment ID: I20220216000179 |
| Provider Name | Stacy Lynn Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407509219 PECOS PAC ID: 9537552518 Enrollment ID: I20220216000372 |
| Provider Name | Victor Naik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023736824 PECOS PAC ID: 9537535315 Enrollment ID: I20221019001514 |
| Provider Name | Lucy Alberda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629780879 PECOS PAC ID: 1759751811 Enrollment ID: I20230105002566 |
| Provider Name | Brittany Marie Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962275206 PECOS PAC ID: 5294182051 Enrollment ID: I20231115003617 |
Kristy K Davis Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 Myrtle St, Sturgis, MI 49091 Phone: 269-251-1064 | |
Yazdi N. Amaria,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 S Monroe St, Sturgis, MI 49091 Phone: 269-651-3218 Fax: 269-651-3219 | |
Smg Practice Medical Commons I Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 E Chicago Rd, Suite 2, Sturgis, MI 49091 Phone: 269-651-1471 Fax: 269-651-1101 | |
Smg Billing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 Myrtle St, Sturgis, MI 49091 Phone: 269-659-6747 | |
Vicente D Cabansag Jr Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 68930 Vinewood Ave, Sturgis, MI 49091 Phone: 269-651-9302 Fax: 269-651-4809 | |
Sturgis Hospital Fastcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 Myrtle St, Sturgis, MI 49091 Phone: 269-625-9160 |