| Douglas Mckenzie, MD | |
|
500 Campus Dr, Hancock, MI 49930-1569 | |
| (906) 483-1060 | |
| (906) 483-1066 |
| Full Name | Douglas Mckenzie |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 500 Campus Dr, Hancock, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063425213 | NPI | - | NPPES |
| 103097998 | Medicaid | MI | |
| 0829560001 | Other | MI | MEDICARE DME |
| 0C16002 | Other | MI | MEDICARE GROUP |
| DM053781 | Other | MI | BLUECROSS STATE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301053781 (Michigan) | Primary |
| Entity Name | Upper Great Lakes Family Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700103777 PECOS PAC ID: 1951432384 Enrollment ID: O20100629000853 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Mckenzie, MD 301 Explorer St, Gwinn, MI 49841-2813 Ph: (906) 346-4924 | Douglas Mckenzie, MD 500 Campus Dr, Hancock, MI 49930-1569 Ph: (906) 483-1060 |
Dr. David J Kass, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1060 Fax: 906-483-1071 | |
Kimberly Anne Dovin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Suite 3, Hancock, MI 49930 Phone: 906-483-1050 Fax: 906-483-1270 | |
Kelly R. Fletcher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1060 Fax: 906-372-3230 | |
Rosmin C Jos, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1060 Fax: 906-372-3230 | |
Gina Maria Louis-mercier, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 787 Market St Ste 9, Hancock, MI 49930 Phone: 906-482-7762 | |
Audrey Liston, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 787 Market St Ste 9, Hancock, MI 49930 Phone: 906-482-7762 |