White Pine Family Medicine Pllc | |
261 N Main Cedar Springs MI 49319-9709 | |
(616) 696-2020 | |
(616) 696-4860 |
Full Name | White Pine Family Medicine Pllc |
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Speciality | Clinic/Center |
Location | 261 N Main, Cedar Springs, Michigan |
Authorized Official Name and Position | Alissa Marie Matthews (OWNER) |
Authorized Official Contact | 6166962020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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White Pine Family Medicine Pllc 261 N Main Cedar Springs MI 49319-9709 Ph: (616) 696-2020 | White Pine Family Medicine Pllc 261 N Main Cedar Springs MI 49319-9709 Ph: (616) 696-2020 |
NPI Number | 1427062272 |
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Provider Enumeration Date | 07/28/2006 |
Last Update Date | 11/06/2013 |
Medicare PECOS PAC ID | 4082653423 |
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Medicare Enrollment ID | O20050426000938 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427062272 | NPI | - | NPPES |
080D115180 | Other | MI | BCBS |
114737787 | Medicaid | MI | |
P00307608 | Other | MI | METRA UNITED HEALTH |
233808 | Other | MI | CAHABA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 233808 (Michigan) | Primary |
Provider Name | Danielle M Sigelko |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821322090 PECOS PAC ID: 3971788167 Enrollment ID: I20110504000102 |
J Wm Decker Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Ronald St, Cedar Springs, MI 49319 Phone: 517-281-3107 | |
Spectrum Health United Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 261 N Main, Cedar Springs, MI 49319 Phone: 616-754-2944 |