| Marion C Hautea, MD | |
|
205 S Bradley Hwy, Rogers City, MI 49779-2137 | |
| (989) 734-2052 | |
| (989) 734-7390 |
| Full Name | Marion C Hautea |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 37 Years |
| Location | 205 S Bradley Hwy, Rogers City, 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 |
|---|---|---|---|
| 1962455972 | NPI | - | NPPES |
| 4147280 | Medicaid | MI | |
| 3376896 | Medicaid | MI | |
| 0F06016 | Other | MI | MEDICARE BILL PAY TO |
| 3376902 | Medicaid | MI | |
| 4884764 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MH069111 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Home Care & Hospice | Cheboygan, MI | Home health agency |
| Midmichigan Home Care | Alpena, MI | Home health agency |
| Midmichigan Medical Center - Alpena | Alpena, MI | Hospital |
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Mclaren Central Michigan | Mount pleasant, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thunder Bay Community Health Service Inc | 0143296772 | 37 |
| Entity Name | Thunder Bay Community Health Service Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629107552 PECOS PAC ID: 0143296772 Enrollment ID: O20040907000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Marion C Hautea, MD Po Box 427, Hillman, MI 49746-0427 Ph: (989) 742-4583 | Marion C Hautea, MD 205 S Bradley Hwy, Rogers City, MI 49779-2137 Ph: (989) 734-2052 |
Michael B Fairbanks, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 S Bradley Hwy, Rogers City, MI 49779 Phone: 989-734-2052 Fax: 989-734-7390 | |
Angela S Mowery, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 205 S Bradley Hwy, Rogers City, MI 49779 Phone: 989-734-2052 Fax: 989-734-7390 |