| Advanced Pain Management Of Caro Pc | |
|
1800 W Caro Rd Ste 12 Caro MI 48723-8209 | |
| (989) 359-6939 | |
| Not Available |
| Full Name | Advanced Pain Management Of Caro Pc |
|---|---|
| Speciality | Pain Medicine |
| Location | 1800 W Caro Rd Ste 12, Caro, Michigan |
| Authorized Official Name and Position | Matthew Denotter (OWNER) |
| Authorized Official Contact | 2488947024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Pain Management Of Caro Pc 1800 W Caro Rd Ste 12 Caro MI 48723-8209 Ph: (248) 894-7024 | Advanced Pain Management Of Caro Pc 1800 W Caro Rd Ste 12 Caro MI 48723-8209 Ph: (989) 359-6939 |
| NPI Number | 1780454587 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 06/03/2024 |
| Medicare PECOS PAC ID | 2264878289 |
|---|---|
| Medicare Enrollment ID | O20240313002076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780454587 | NPI | - | NPPES |
| Provider Name | Avery Michael Jackson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851329197 PECOS PAC ID: 7214820174 Enrollment ID: I20040204000756 |
| Provider Name | Ramiro Antonio Perez De La Torre |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689909343 PECOS PAC ID: 6507271202 Enrollment ID: I20210210001174 |
| Provider Name | Bethany Michelle Heinrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396477576 PECOS PAC ID: 8921453408 Enrollment ID: I20240502001785 |
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