| Riverside Medical Associates, P.c. | |
|
560 Osborn Blvd Sault Sainte Marie MI 49783-1883 | |
| (906) 632-1800 | |
| (906) 632-2199 |
| Full Name | Riverside Medical Associates, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 560 Osborn Blvd, Sault Sainte Marie, Michigan |
| Authorized Official Name and Position | Kellie L Popour (MANAGER) |
| Authorized Official Contact | 9066322004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Medical Associates, P.c. 560 Osborn Blvd Sault Sainte Marie MI 49783-1883 Ph: (906) 632-2004 | Riverside Medical Associates, P.c. 560 Osborn Blvd Sault Sainte Marie MI 49783-1883 Ph: (906) 632-1800 |
| NPI Number | 1306832605 |
|---|---|
| Provider Enumeration Date | 09/22/2005 |
| Last Update Date | 07/13/2022 |
| Medicare PECOS PAC ID | 3870571508 |
|---|---|
| Medicare Enrollment ID | O20040709000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306832605 | NPI | - | NPPES |
| 0A76352 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert H Mackie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891797098 PECOS PAC ID: 3274511761 Enrollment ID: I20050110001175 |
| Provider Name | Timothy N Tetzlaff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326040544 PECOS PAC ID: 0648258137 Enrollment ID: I20050310000129 |
| Provider Name | John P Ockenfels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457353633 PECOS PAC ID: 9830188929 Enrollment ID: I20061211000291 |
St. Marys Medical Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 943 E Portage Ave, Sault Sainte Marie, MI 49783 Phone: 906-632-7878 | |
Phillip W. Niemi, D.o.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Osborn Blvd, Suite #202, Sault Sainte Marie, MI 49783 Phone: 906-632-1100 Fax: 906-632-7768 | |
Sault Tribe Of Chippewa Indians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2864 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-5200 Fax: 906-632-5276 | |
Eero J. Ranta, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 550 Osborn Blvd, Suite 204, Sault Sainte Marie, MI 49783 Phone: 906-632-6823 Fax: 906-632-7755 | |
Chippewa Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-6013 | |
Mymichigan Medical Center Sault Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-632-1800 | |
Joseph M. Garlinghouse Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Magazine St, Suite 102, Sault Sainte Marie, MI 49783 Phone: 906-253-9374 Fax: 906-253-9002 |