| Sault Tribe Of Chippewa Indians | |
|
2864 Ashmun St Sault Sainte Marie MI 49783-3740 | |
| (906) 632-5200 | |
| (906) 632-5276 |
| Full Name | Sault Tribe Of Chippewa Indians |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2864 Ashmun St, Sault Sainte Marie, Michigan |
| Authorized Official Name and Position | Bonnie L Culfa (DIVISION OF HEALTH DIRECTOR) |
| Authorized Official Contact | 9066325200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sault Tribe Of Chippewa Indians 2864 Ashmun St Sault Sainte Marie MI 49783-3740 Ph: (906) 632-5200 | Sault Tribe Of Chippewa Indians 2864 Ashmun St Sault Sainte Marie MI 49783-3740 Ph: (906) 632-5200 |
| NPI Number | 1205004884 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 03/20/2009 |
| Medicare PECOS PAC ID | 7012982937 |
|---|---|
| Medicare Enrollment ID | O20051021000877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205004884 | NPI | - | NPPES |
| 0A71016 | Other | MI | BC/BS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Myrth C Condon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184690760 PECOS PAC ID: 6901856129 Enrollment ID: I20050126000232 |
| Provider Name | Denise J Neubauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487749578 PECOS PAC ID: 6901807908 Enrollment ID: I20070117000439 |
| Provider Name | Janet R Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568599199 PECOS PAC ID: 1759460124 Enrollment ID: I20080509000505 |
| Provider Name | Carla A Behling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023067113 PECOS PAC ID: 0547330326 Enrollment ID: I20080605000346 |
| Provider Name | Rae Ann Brand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487603536 PECOS PAC ID: 5890865679 Enrollment ID: I20080605000366 |
| Provider Name | Stacy L Lamontagna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003323775 PECOS PAC ID: 8527327436 Enrollment ID: I20180123001987 |
| Provider Name | Jasjit K Pataria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013478205 PECOS PAC ID: 9830431253 Enrollment ID: I20190503000761 |
| Provider Name | Marylou Duron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386106151 PECOS PAC ID: 8921334194 Enrollment ID: I20190725001490 |
| Provider Name | Danyalle Wyckoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922633056 PECOS PAC ID: 9335550045 Enrollment ID: I20201202001138 |
| Provider Name | Debra Doornbos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902117542 PECOS PAC ID: 3577689967 Enrollment ID: I20210121000674 |
| Provider Name | Karey Mewbourn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992116958 PECOS PAC ID: 6800014135 Enrollment ID: I20220629002958 |
| Provider Name | Lauren Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396361499 PECOS PAC ID: 2163888322 Enrollment ID: I20230515001931 |
| Provider Name | Alec Tuchowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679199772 PECOS PAC ID: 5890151898 Enrollment ID: I20230517002351 |
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 | |
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 |