Rostam Adult And Pediatric Medicine Pllc | |
262 S Pt Crescent St Bad Axe MI 48413-9635 | |
(989) 493-9327 | |
(989) 623-0172 |
Full Name | Rostam Adult And Pediatric Medicine Pllc |
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Speciality | Family Medicine |
Location | 262 S Pt Crescent St, Bad Axe, Michigan |
Authorized Official Name and Position | Behzod Rostam (OWNER) |
Authorized Official Contact | 2489306442 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rostam Adult And Pediatric Medicine Pllc 7339 Glen Eagle Dr Bay City MI 48706-9316 Ph: (248) 930-6442 | Rostam Adult And Pediatric Medicine Pllc 262 S Pt Crescent St Bad Axe MI 48413-9635 Ph: (989) 493-9327 |
NPI Number | 1235638651 |
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Provider Enumeration Date | 02/12/2018 |
Last Update Date | 10/02/2023 |
Medicare PECOS PAC ID | 2365705464 |
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Medicare Enrollment ID | O20180516000990 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235638651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Behzod Rostam |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902125677 PECOS PAC ID: 5597909085 Enrollment ID: I20130924000336 |
Provider Name | Buffie Loss |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679721781 PECOS PAC ID: 8325274285 Enrollment ID: I20131122001949 |
Provider Name | Rebecca Ann Mckee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881156594 PECOS PAC ID: 0446592026 Enrollment ID: I20190501000458 |
Hills & Dales General Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 684 N Port Crescent St, Bad Axe, MI 48413 Phone: 989-912-6575 Fax: 989-912-6013 | |
Huron Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 S Van Dyke Rd, Bad Axe, MI 48413 Phone: 989-269-4621 Fax: 989-269-7517 | |
Mclaren Thumb Region Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1011 S Van Dyke Rd, Bad Axe, MI 48413 Phone: 989-269-5258 Fax: 989-269-8399 | |
Mclaren Thumb Region - Port Austin Campus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 S Van Dyke Rd, Bad Axe, MI 48413 Phone: 989-269-9521 Fax: 989-269-5260 | |
Mclaren Thumb Region Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1117 S Van Dyke Rd, Bad Axe, MI 48413 Phone: 989-269-6170 Fax: 989-269-2751 | |
Great Lakes Bay Health Centers Thumb Area Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 876 N Van Dyke Rd, Bad Axe, MI 48413 Phone: 989-623-0137 Fax: 989-821-4977 |