| Silver Lake Family Practice ,llc | |
|
1100 Torrey Rd Ste 300 Fenton MI 48430-3327 | |
| (810) 714-7369 | |
| (810) 714-9258 |
| Full Name | Silver Lake Family Practice ,llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 Torrey Rd Ste 300, Fenton, Michigan |
| Authorized Official Name and Position | Donna S Benford (OWNER) |
| Authorized Official Contact | 8107147369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Lake Family Practice ,llc 1100 Torrey Rd Ste 300 Fenton MI 48430-3327 Ph: (810) 714-7369 | Silver Lake Family Practice ,llc 1100 Torrey Rd Ste 300 Fenton MI 48430-3327 Ph: (810) 714-7369 |
| NPI Number | 1124208608 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 11/13/2007 |
| Medicare PECOS PAC ID | 5890740724 |
|---|---|
| Medicare Enrollment ID | O20050314000906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124208608 | NPI | - | NPPES |
| 4721123 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DB009523 (Michigan) | Primary |
| Provider Name | Donna S Benford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073670154 PECOS PAC ID: 1052366986 Enrollment ID: I20050315000272 |
| Provider Name | Angela S Feltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851502785 PECOS PAC ID: 6507964624 Enrollment ID: I20070613000061 |
| Provider Name | Kelly A Gamache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881086346 PECOS PAC ID: 0345567301 Enrollment ID: I20150401000103 |
| Provider Name | Dylan T Mooney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710335641 PECOS PAC ID: 5294023099 Enrollment ID: I20200211000837 |
| Provider Name | Alexandra Zdenek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346848215 PECOS PAC ID: 6103237763 Enrollment ID: I20201203000236 |
April B Tyler Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1361 N Long Lake Rd, Fenton, MI 48430 Phone: 810-629-6996 Fax: 810-629-0614 | |
Cbm Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14229 Torrey Rd # 2, Fenton, MI 48430 Phone: 313-815-8767 Fax: 810-458-4187 | |
Fenton Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 N Adelaide St, Fenton, MI 48430 Phone: 810-629-2245 Fax: 810-629-6535 | |
Advocates In Home Health Care, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9448 Dean Rd, Fenton, MI 48430 Phone: 856-466-6825 Fax: 206-309-3951 | |
Mclaren Nowplusclinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3270 W Silver Lake Rd, Fenton, MI 48430 Phone: 800-862-3132 Fax: 810-496-8814 | |
Michael D Zerafa Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 445 N Fenway Dr, Fenton, MI 48430 Phone: 810-750-6050 Fax: 810-750-6081 |