| Dr Loren J Decarlo, DO | |
|
117 S Main St, Capac, MI 48014-3715 | |
| (810) 395-4840 | |
| (810) 395-7551 |
| Full Name | Dr Loren J Decarlo |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 117 S Main St, Capac, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629003462 | NPI | - | NPPES |
| 4735675 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101013942 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Home Health | Sterling heights, MI | Home health agency |
| Mclaren Port Huron | Port huron, MI | Hospital |
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Lake Huron Medical Center | Port huron, MI | Hospital |
| Mclaren Lapeer Region | Lapeer, MI | Hospital |
| Mclaren Macomb | Mount clemens, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family First Health Care Capac Pllc | 1355380528 | 3 |
| Entity Name | Family First Health Care Capac Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376601179 PECOS PAC ID: 1355380528 Enrollment ID: O20050427000581 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Loren J Decarlo, DO 117 S Main St, Capac, MI 48014-3715 Ph: (810) 395-4840 | Dr Loren J Decarlo, DO 117 S Main St, Capac, MI 48014-3715 Ph: (810) 395-4840 |
Dr. Robert Charles Glapinski, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14960 E Park St, Capac, MI 48014 Phone: 810-395-1610 Fax: 810-395-1612 | |
Dr. Norbert E Conrad, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 117 S Main St, Capac, MI 48014 Phone: 810-395-4840 Fax: 810-395-7551 |