| Grand River Family Care, Pc | |
|
1881 W Grand River Ave Okemos MI 48864-1840 | |
| (517) 339-2116 | |
| (517) 339-4620 |
| Full Name | Grand River Family Care, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1881 W Grand River Ave, Okemos, Michigan |
| Authorized Official Name and Position | Quinn Bosworth (OWNER) |
| Authorized Official Contact | 5173392116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand River Family Care, Pc 1881 W Grand River Ave Okemos MI 48864-1840 Ph: (517) 339-2116 | Grand River Family Care, Pc 1881 W Grand River Ave Okemos MI 48864-1840 Ph: (517) 339-2116 |
| NPI Number | 1396301719 |
|---|---|
| Provider Enumeration Date | 05/10/2019 |
| Last Update Date | 05/10/2019 |
| Medicare PECOS PAC ID | 8628304516 |
|---|---|
| Medicare Enrollment ID | O20190730004654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396301719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Quinn Michael Bosworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063440592 PECOS PAC ID: 9234103292 Enrollment ID: I20040825000003 |
| Provider Name | Kyle A Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831744457 PECOS PAC ID: 6901135821 Enrollment ID: I20190831000069 |
| Provider Name | Emily A Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710531686 PECOS PAC ID: 8527468354 Enrollment ID: I20210615002422 |
| Provider Name | Elysha A Keener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861076465 PECOS PAC ID: 5799185575 Enrollment ID: I20210616000715 |
Vlsr Madireddy Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4129 Okemos Rd, Ste 6, Okemos, MI 48864 Phone: 517-803-4544 Fax: 517-803-4509 | |
John D Wenzel Do Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1667 Hamilton Rd, Okemos, MI 48864 Phone: 517-349-9550 Fax: 517-349-7650 | |
Okemos Primary Care Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2104 Jolly Rd, Suite 290, Okemos, MI 48864 Phone: 517-708-7283 Fax: 517-708-7294 | |
Meridian Wellness, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2422 Jolly Rd Ste 100, Okemos, MI 48864 Phone: 517-618-9507 | |
Orlando Matias Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2104 Jolly Rd, Suite 290, Okemos, MI 48864 Phone: 517-220-4507 Fax: 517-575-6869 | |
David Neff, Do, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3493 Woods Edge, Okemos, MI 48864 Phone: 517-290-1079 Fax: 517-481-3765 | |
Edward W. Sparrow Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2446 Jolly Rd Ste B, Okemos, MI 48864 Phone: 517-253-5530 Fax: 517-253-5535 |