Suttons Bay Medical Clinic, Plc | |
93b Fourth St Suttons Bay MI 49682-0397 | |
(231) 271-5990 | |
(231) 271-5959 |
Full Name | Suttons Bay Medical Clinic, Plc |
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Speciality | Clinic/Center |
Location | 93b Fourth St, Suttons Bay, Michigan |
Authorized Official Name and Position | Thomas G Lammy (MEMBER) |
Authorized Official Contact | 2312715990 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Suttons Bay Medical Clinic, Plc 93b Fourth St Po Box 397 Suttons Bay MI 49682-0397 Ph: (231) 271-5990 | Suttons Bay Medical Clinic, Plc 93b Fourth St Suttons Bay MI 49682-0397 Ph: (231) 271-5990 |
NPI Number | 1497868111 |
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Provider Enumeration Date | 08/16/2006 |
Last Update Date | 06/24/2009 |
Medicare PECOS PAC ID | 1456402577 |
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Medicare Enrollment ID | O20090701000531 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497868111 | NPI | - | NPPES |
700D510020 | Other | MI | BLUE CARE NETWORK |
700D510020 | Other | MI | BCBSM |
0N19510 | Other | MI | MEDICARE PART B |
1982653242 | Medicaid | MI | |
1588612972 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Phillip W Siemer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588612972 PECOS PAC ID: 4688574395 Enrollment ID: I20060324000418 |
Provider Name | Thomas G Lammy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982653242 PECOS PAC ID: 8325199334 Enrollment ID: I20101006001102 |
Provider Name | Jennifer M Littlefield |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770835670 PECOS PAC ID: 4486932159 Enrollment ID: I20161031002417 |
Grand Traverse Band Family Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 N Stallman Rd, Suttons Bay, MI 49682 Phone: 231-534-7200 Fax: 231-534-7460 | |
Crystal Lake Clinic P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 650 S West Bay Shore Dr, Suttons Bay, MI 49682 Phone: 231-882-9661 | |
Leelanau Family Practice Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 718 N Saint Joseph St Unit K1, Suttons Bay, MI 49682 Phone: 231-386-0088 | |
Leelanau Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 650 S West Bay Shore Dr, Suttons Bay, MI 49682 Phone: 231-271-5161 Fax: 231-271-3590 | |
Leelanau Urgent Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 650 S West Bay Shore Dr, Suttons Bay, MI 49682 Phone: 231-271-6511 Fax: 231-271-6519 | |
Geriatric Physician Staffing Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 W Fourth St, Suttons Bay, MI 49682 Phone: 231-271-1200 Fax: 231-271-5959 |