| Elk Rapids Primary Care Plc | |
|
115 Bridge Street Elk Rapids MI 49629-5110 | |
| (231) 264-0399 | |
| (231) 264-0212 |
| Full Name | Elk Rapids Primary Care Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 115 Bridge Street, Elk Rapids, Michigan |
| Authorized Official Name and Position | Steven M Pray (SOLE PROPRIETOR) |
| Authorized Official Contact | 2312640399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk Rapids Primary Care Plc Po Box 888 Elk Rapids MI 49629-0888 Ph: (231) 264-0399 | Elk Rapids Primary Care Plc 115 Bridge Street Elk Rapids MI 49629-5110 Ph: (231) 264-0399 |
| NPI Number | 1174672968 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 11/28/2011 |
| Medicare PECOS PAC ID | 8527029818 |
|---|---|
| Medicare Enrollment ID | O20041020000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174672968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | SP014958 (Michigan) | Primary |
| Provider Name | Steven M Pray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447333265 PECOS PAC ID: 2062473358 Enrollment ID: I20041021000168 |
| Provider Name | Jennifer A Shockley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336139658 PECOS PAC ID: 9234232380 Enrollment ID: I20070312000154 |
Mclaren Medical Management Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Ames St, Elk Rapids, MI 49629 Phone: 231-264-8282 | |
Crystal Lake Clinic P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Ames St, Elk Rapids, MI 49629 Phone: 231-264-8282 Fax: 231-264-6655 | |
Elk Rapids Wellness Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9060 N Bayshore Dr Ste B, Elk Rapids, MI 49629 Phone: 231-498-4552 | |
Elk Rapids Medical Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 516 Bridge St, Post Office Box 119, Elk Rapids, MI 49629 Phone: 231-264-0700 | |
Elk Rapids Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Ames St, Elk Rapids, MI 49629 Phone: 231-264-8282 |