| John Matthew Lawrence, | |
|
829 N Center Ave, Suite 210, Gaylord, MI 49735-1595 | |
| (989) 731-7860 | |
| (989) 731-7833 |
| Full Name | John Matthew Lawrence |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 829 N Center Ave, Gaylord, 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 |
|---|---|---|---|
| 1235401712 | NPI | - | NPPES |
| OF96004 | Other | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601006263 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advisacare Solutions Of Northern Michigan, Llc | Charlevoix, MI | Home health agency |
| Mclaren Home Health | Cheboygan , MI | Home health agency |
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Munson Healthcare Otsego Memorial Hospital | Gaylord, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bay Urgent Care And Family Practice Pllc | 2466990585 | 5 |
| Entity Name | Munson Healthcare Otsego Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164628426 PECOS PAC ID: 8325942535 Enrollment ID: O20040305000525 |
| Entity Name | Bay Street Orthopaedics PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174808992 PECOS PAC ID: 4688864788 Enrollment ID: O20120814000211 |
| Entity Name | Bay Urgent Care and Family Practice PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164260261 PECOS PAC ID: 2466990585 Enrollment ID: O20240820001711 |
| Mailing Address | Practice Location Address |
|---|---|
| John Matthew Lawrence, 829 N Center Ave, Suite 298, Gaylord, MI 49735-1595 Ph: (989) 731-7708 | John Matthew Lawrence, 829 N Center Ave, Suite 210, Gaylord, MI 49735-1595 Ph: (989) 731-7860 |
Mr. Dominic Jerome Giallombardo, MT(ASCP), RN, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 652 N Otsego Ave, Gaylord, MI 49735 Phone: 989-732-3529 Fax: 989-732-7865 |
Christopher David Blanchet, Physician Assistant Medicare: Medicare Enrolled Practice Location: 994 N Center Ave, Gaylord, MI 49735 Phone: 989-732-7843 Fax: 989-731-4513 |
Mr. Patrick Alan Johnson, RD, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 825 N Center Ave, Gaylord, MI 49735 Phone: 989-731-2100 |
Caila Carolyn Kippe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2147 Professional Dr, Gaylord, MI 49735 Phone: 989-732-1753 |
Kellie Lea Mumford, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2147 Professional Dr, Gaylord, MI 49735 Phone: 989-732-1753 Fax: 989-731-1425 |
Elizabeth Marie Dickinson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1320 E M 32, Gaylord, MI 49735 Phone: 198-973-1509 |
Adam Derek-alan Moffatt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1951 S Otsego Ave, Gaylord, MI 49735 Phone: 989-732-3284 Fax: 989-732-6395 |