| Family First Health Care Capac Pllc | |
|
117 S Main St Capac MI 48014-3715 | |
| (810) 395-4840 | |
| (810) 395-7551 |
| Full Name | Family First Health Care Capac Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 117 S Main St, Capac, Michigan |
| Authorized Official Name and Position | Loren J Decarlo (OWNER) |
| Authorized Official Contact | 8103954840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family First Health Care Capac Pllc 117 S Main St Capac MI 48014-3715 Ph: (810) 395-4840 | Family First Health Care Capac Pllc 117 S Main St Capac MI 48014-3715 Ph: (810) 395-4840 |
| NPI Number | 1376601179 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 07/28/2020 |
| Medicare PECOS PAC ID | 1355380528 |
|---|---|
| Medicare Enrollment ID | O20050427000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376601179 | NPI | - | NPPES |
| 080G411650 | Other | MI | BLUE CARE NETWORK |
| 080G411650 | Other | MI | BLUE CROSS BLUE SHIELD |
| 114735675 | Medicaid | MI | |
| 114950369 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Loren J Decarlo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629003462 PECOS PAC ID: 7012981756 Enrollment ID: I20040823000318 |
| Provider Name | Karey S Hartford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043239932 PECOS PAC ID: 1355367780 Enrollment ID: I20051014000785 |
| Provider Name | Pamela Kuzera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336646934 PECOS PAC ID: 8820344542 Enrollment ID: I20180710002539 |
| Provider Name | Sarah Hunger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316513047 PECOS PAC ID: 2961863782 Enrollment ID: I20230726002737 |
Capac Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14960 E Park St, Capac, MI 48014 Phone: 810-310-1783 | |
Capac Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4316 Capac Road, Capac, MI 48014 Phone: 810-395-4375 Fax: 810-395-4238 |