| Empowerme Medical Group, Pc | |
|
340 W 40th St Holland MI 49423-4600 | |
| (877) 367-9772 | |
| Not Available |
| Full Name | Empowerme Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 340 W 40th St, Holland, Michigan |
| Authorized Official Name and Position | David Church (VP FINANCE) |
| Authorized Official Contact | 6189725228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerme Medical Group, Pc 1335 Strassner Dr Brentwood MO 63144-1872 Ph: (877) 367-9772 | Empowerme Medical Group, Pc 340 W 40th St Holland MI 49423-4600 Ph: (877) 367-9772 |
| NPI Number | 1700614617 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 07/23/2024 |
| Medicare PECOS PAC ID | 7214392059 |
|---|---|
| Medicare Enrollment ID | O20240801002953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700614617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristopher Wolfe |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1497137947 PECOS PAC ID: 5193073575 Enrollment ID: I20240801003337 |
| Provider Name | Joseph Mitchell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952669152 PECOS PAC ID: 5496981425 Enrollment ID: I20240813000399 |
| Provider Name | Lauren Petry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447702212 PECOS PAC ID: 4880963719 Enrollment ID: I20240930001081 |
Lakeshore Internal Medicine And Pediatric Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 437 North 120th Ave, Holland, MI 49424 Phone: 616-738-0737 | |
Hh Services - South Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Washington Ave, Holland, MI 49423 Phone: 616-796-2880 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 N 120th Ave, Holland, MI 49424 Phone: 866-944-6046 | |
Lakewood Family Medicine Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 382 N 120th Ave, Holland, MI 49424 Phone: 616-396-6516 Fax: 616-396-2513 | |