| Clinton County Medical Center Pc | |
| 
					1005 S Us Highway 27 Ste 100 Saint Johns MI 48879-2423  | |
| (989) 224-3000 | |
| (989) 224-1424 | 
| Full Name | Clinton County Medical Center Pc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 1005 S Us Highway 27 Ste 100, Saint Johns, Michigan | 
| Authorized Official Name and Position | Andrew W Messenger (PRESIDENT) | 
| Authorized Official Contact | 9892243000 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Clinton County Medical Center Pc 1005 S Us Highway 27 Ste 100 Saint Johns MI 48879-2423 Ph: (989) 224-3000  | Clinton County Medical Center Pc 1005 S Us Highway 27 Ste 100 Saint Johns MI 48879-2423 Ph: (989) 224-3000  | 
| NPI Number | 1861486938 | 
|---|---|
| Provider Enumeration Date | 09/06/2005 | 
| Last Update Date | 11/08/2023 | 
| Medicare PECOS PAC ID | 8224923818 | 
|---|---|
| Medicare Enrollment ID | O20040713001210 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1861486938 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101007341 (Michigan) | Primary | 
| Provider Name | Seth T Ferguson | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1063462554 PECOS PAC ID: 9335044056 Enrollment ID: I20031204000941  | 
| Provider Name | Ibrahim A Jawad | 
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) | 
| Provider Identifiers | NPI Number: 1023092616 PECOS PAC ID: 9830097518 Enrollment ID: I20031219000729  | 
| Provider Name | Michael Schmidt | 
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology | 
| Provider Identifiers | NPI Number: 1801811187 PECOS PAC ID: 7719872969 Enrollment ID: I20050329000477  | 
| Provider Name | Jeffrey L Stuk | 
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology | 
| Provider Identifiers | NPI Number: 1700801081 PECOS PAC ID: 9537054788 Enrollment ID: I20050329000495  | 
| Provider Name | Roger D Annis | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1952350480 PECOS PAC ID: 0143261305 Enrollment ID: I20050518000254  | 
| Provider Name | Jeffery T Archbold | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1184656159 PECOS PAC ID: 4880745827 Enrollment ID: I20090702000099  | 
| Provider Name | Andrew W Messenger | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1073543666 PECOS PAC ID: 9032004627 Enrollment ID: I20100126000343  | 
| Provider Name | Lars P Andersen | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1902835309 PECOS PAC ID: 6305731993 Enrollment ID: I20100126000392  | 
| Provider Name | Lisa L Ferguson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1275840282 PECOS PAC ID: 8224214705 Enrollment ID: I20110518000085  | 
| Provider Name | Taylor D Thelen | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1548552516 PECOS PAC ID: 2365683307 Enrollment ID: I20130802000290  | 
| Provider Name | James E Sutherland | 
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology | 
| Provider Identifiers | NPI Number: 1295985034 PECOS PAC ID: 8426161027 Enrollment ID: I20140723002127  | 
| Provider Name | Amber Rae Sprague-rice | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1235517574 PECOS PAC ID: 4981912656 Enrollment ID: I20150929002180  | 
| Provider Name | Kevin A Bazan | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1912447244 PECOS PAC ID: 2567747041 Enrollment ID: I20170323002475  | 
| Provider Name | Joseph W Zielinski | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1881113645 PECOS PAC ID: 7719253053 Enrollment ID: I20171101000116  | 
| Provider Name | Danielle Rose Martinez | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1821502600 PECOS PAC ID: 6204197825 Enrollment ID: I20180222001758  | 
| Provider Name | John Daniel Lehman | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1891343612 PECOS PAC ID: 3678805504 Enrollment ID: I20191026000096  | 
| Provider Name | Miranda Marshall | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1245876242 PECOS PAC ID: 1153758586 Enrollment ID: I20200225001884  | 
| Provider Name | Dawn M Martin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1831780741 PECOS PAC ID: 5294136909 Enrollment ID: I20210701000274  | 
| Provider Name | Kalli N Feldpausch | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1598385189 PECOS PAC ID: 1254737612 Enrollment ID: I20210909002775  | 
| Provider Name | Alexandra F Theis | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1497346241 PECOS PAC ID: 0547650673 Enrollment ID: I20211206000267  | 
| Provider Name | Samantha H Hallenbeck | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1457010928 PECOS PAC ID: 8123419165 Enrollment ID: I20211229001442  | 
| Provider Name | Zachary T Goldstein | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1457911877 PECOS PAC ID: 5991197675 Enrollment ID: I20220111000257  | 
| Provider Name | Samantha D Price | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1659914182 PECOS PAC ID: 5890189625 Enrollment ID: I20220222000280  | 
| Provider Name | Haley Ivah Warnemuende | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1124769369 PECOS PAC ID: 9537540315 Enrollment ID: I20220726001149  | 
| Provider Name | Jennifer Azelton | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1124583158 PECOS PAC ID: 9931441755 Enrollment ID: I20230315002684  | 
| Provider Name | Jacob M Monestersky | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1740804632 PECOS PAC ID: 4880017821 Enrollment ID: I20230615000725  | 
| Provider Name | Molly Marie Bailey | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1972172054 PECOS PAC ID: 3072977768 Enrollment ID: I20230913004088  | 
| Provider Name | Melanie Odeleye | 
|---|---|
| Provider Type | Practitioner - Preventive Medicine | 
| Provider Identifiers | NPI Number: 1184988255 PECOS PAC ID: 0244474633 Enrollment ID: I20231002002678  | 
| Provider Name | Jessica A Mcgillis | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1104688423 PECOS PAC ID: 3072057405 Enrollment ID: I20240626004076  | 
North Wilton Health Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 S Scott Rd, Saint Johns, MI 48879 Phone: 989-224-8936  | |
St. Johns Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 W Higham St, Saint Johns, MI 48879 Phone: 989-224-0646  | |
St Johns Family Health Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Waterford Pkwy, Saint Johns, MI 48879 Phone: 989-227-0710 Fax: 989-224-0863  | |
Sparrow Clinton Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 901 S Oakland St, Saint Johns, MI 48879 Phone: 989-224-2338 Fax: 989-224-2065  | |
Anthony Marl Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Waterford Pkwy, Saint Johns, MI 48879 Phone: 989-227-1621  | |
Sheila Gendich M D Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 N Us Highway 27, Saint Johns, MI 48879 Phone: 989-227-9902 Fax: 989-227-9911  | |
Sparrow Clinton Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 S Oakland St Fl 3, Saint Johns, MI 48879 Phone: 989-227-3345 Fax: 989-227-3361  |