| Advanced Medical House Calls, Plc | |
|
14165 N Fenton Rd Ste 201a Fenton MI 48430-1584 | |
| (810) 853-5875 | |
| (586) 279-4515 |
| Full Name | Advanced Medical House Calls, Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 14165 N Fenton Rd Ste 201a, Fenton, Michigan |
| Authorized Official Name and Position | Mark D Wilkerson (PRESIDENT) |
| Authorized Official Contact | 8108535875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical House Calls, Plc 14165 N. Fenton Road Suite 201a Fenton MI 48430-1128 Ph: (810) 853-5875 | Advanced Medical House Calls, Plc 14165 N Fenton Rd Ste 201a Fenton MI 48430-1584 Ph: (810) 853-5875 |
| NPI Number | 1508201013 |
|---|---|
| Provider Enumeration Date | 05/10/2013 |
| Last Update Date | 07/06/2018 |
| Medicare PECOS PAC ID | 0042453318 |
|---|---|
| Medicare Enrollment ID | O20130905000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508201013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert K Brummeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831205806 PECOS PAC ID: 3971602814 Enrollment ID: I20070619000221 |
| Provider Name | Laura Lynn Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649471004 PECOS PAC ID: 7517066210 Enrollment ID: I20070621000030 |
| Provider Name | Mark D Wilkerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023114287 PECOS PAC ID: 3870623036 Enrollment ID: I20100615000082 |
| Provider Name | Purvaj Mahendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730344029 PECOS PAC ID: 8820279474 Enrollment ID: I20110302000249 |
| Provider Name | Thomas R Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902327869 PECOS PAC ID: 6406129139 Enrollment ID: I20170831001767 |
| Provider Name | Nicholas A Beaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992349732 PECOS PAC ID: 8123453826 Enrollment ID: I20200125000374 |
| Provider Name | Amy Torrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780220699 PECOS PAC ID: 6305273996 Enrollment ID: I20200418000020 |
| Provider Name | Emily A Turkiela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467023101 PECOS PAC ID: 7012314891 Enrollment ID: I20210921002469 |
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